Michael Commesso, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17318 Issued in NC

Practice address

99 Pasadena Ave Ste 10C
South Pasadena, CA 91030-6142

Phone

(323) 341-5580

NPI assigned

Aug 4, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Carolina Orthopaedic

  • Specialist
  • Sanford, NC
  • NPI 1205024007
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1477078012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 PROSPECT AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762933",
            "telephone_number": "631-708-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASADENA AVE STE 10C",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910306142",
            "telephone_number": "323-341-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Red Elm Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27713",
            "country_code": "US",
            "telephone_number": "631-708-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMMESSO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of South Pasadena
• Juliana Lares Collaso
• Kelsey Lynn Collins
• Lacresha Elie Collins
• Victoria Combre
• Cynthia S Concepcion, MFT
• Connolly Counseling
• Robert Leo Connolly, PSY.D.
• Jessica Anne Conver, MFT
• Constance Gail Cooper

• Physical Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.