Michele Beth Herkimer, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 17062 Issued in CA

Practice address

871 S Tustin St
Orange, CA 92866-3426

Phone

(714) 633-7227

Fax

(714) 633-6092

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

Practice roles

Locations

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

• Sports Conditioning and Rehabilitation of California Inc

  dba Star Clinic

  • Physical Therapist
  • Orange, CA
  • NPI 1013047240

  Pediatrics

  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649473075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663426",
            "telephone_number": "714-633-7227",
            "fax_number": "714-633-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663426",
            "telephone_number": "714-633-7227",
            "fax_number": "714-633-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERKIMER",
        "first_name": "MICHELE",
        "middle_name": "BETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 17062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menely Hercules
• Angelica Heredia
• Anjali Herekar, MD
• Heritage 88 Holdings
• James William Herkimer, PT
• Herman L. Rundle, M.D. Inc
• June Marie Herman, MD
• Lorena Hermogeno, R.N.
• Estefania Hermosilla
• Ashley Hermosillo

• Pediatric Physical Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.