Active NPI
Michelle M Brown, PT
- Physical Therapist
- Hemet, CA
National Provider Identifier
1609997345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24387
- Practice address
- 1515 W Florida Ave Ste E
Hemet, CA 92543-3817 - Phone
- (951) 658-3121
- Fax
- (951) 652-6994
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24387 | CA | Primary |
Addresses
Primary practice location
1515 W Florida Ave Ste E
Hemet, CA 92543-3817
Mailing address
2015 W Via Rancho Parkway
Escondido, CA 92029
Phone (760) 644-5990
Other names 1
- Michelle M Bergey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy-Sports Institute, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1515 W Florida Ave
Ste E
Hemet, CA 92543
Phone (714) 658-3121
1545 W Florida Ave
Hemet, CA 92543
Phone (951) 791-1111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- michelle.brown.p16@direct.kmsm.nextgenshare.com
Organizations & group practices 1
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.
-
- Physical Therapist
- Hemet, CA
- NPI 1811050156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1609997345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 W VIA RANCHO PARKWAY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92029",
"telephone_number": "760-644-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W FLORIDA AVE STE E",
"city": "HEMET",
"state": "CA",
"postal_code": "925433817",
"telephone_number": "951-658-3121",
"fax_number": "951-652-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BERGEY",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.