Active NPI
Michele Dierberger, P.T.
- Orthopedic Physical Therapist
- San Francisco, CA
National Provider Identifier
1619270287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 27804
- Practice address
- 8 Jordan Ave
Apt 2
San Francisco, CA 94118-2569 - Phone
- (415) 845-4625
- NPI assigned
- Dec 21, 2010
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 27804 | CA | Primary |
Addresses
Primary practice location
8 Jordan Ave
Apt 2
San Francisco, CA 94118-2569
Mailing address
8 Jordan Avenue
Apt 2
San Francisco, CA 94118-2556
Phone (415) 845-4625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27804 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1619270287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 JORDAN AVENUE",
"address_2": "APT 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182556",
"telephone_number": "415-845-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 JORDAN AVE",
"address_2": "APT 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182569",
"telephone_number": "415-845-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERBERGER",
"first_name": "MICHELE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-21",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "27804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.