Active NPI
Elizabeth Myhre
- Physical Therapist
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295812
- Practice address
- 210 W Pine St
Lodi, CA 95240-2020 - Phone
- (209) 365-7867
- NPI assigned
- Nov 20, 2018
- 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 | 295812 | CA | Primary |
Addresses
Primary practice location
210 W Pine St
Lodi, CA 95240-2020
Mailing address
631 S Ham LN
Lodi, CA 95242-3532
Phone (209) 368-7433
Other practice location 1
631 S Ham Ln
Lodi, CA 95242-3532
Phone (209) 368-7433
Other names 1
- Elizabeth Snow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295812 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| TSH Inc. | Physical Therapist | Past | Accepting new patients |
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| Gold Country Therapies, Inc | Past | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
210 W Pine St
Lodi, CA 95240
Phone (209) 365-7867
1519 W Yosemite Ave
Manteca, CA 95337
Phone (209) 265-3038
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
1518 Coffee Rd
Ste I
Modesto, CA 95355
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
855 S Tracy Blvd
Tracy, CA 95376
Phone (209) 627-1383
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 6
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.
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
CA, Physical Therapist
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
-
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
-
- Physical Therapist
- Lodi, CA
- NPI 1841396223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1639648561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 S HAM LN",
"city": "LODI",
"state": "CA",
"postal_code": "952423532",
"telephone_number": "209-368-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W PINE ST",
"city": "LODI",
"state": "CA",
"postal_code": "952402020",
"telephone_number": "209-365-7867"
}
],
"practiceLocations": [
{
"address_1": "631 S Ham Ln",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "CA",
"postal_code": "952423532",
"country_code": "US",
"telephone_number": "209-368-7433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYHRE",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SNOW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.