Active NPI
Mike Sprenkle, RPT
- Physical Therapist
- Cherry Valley, CA
National Provider Identifier
1649578170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6216
- Practice address
- 40345 Dutton Street
Cherry Valley, CA 92223 - Phone
- (951) 845-7313
- NPI assigned
- Mar 8, 2011
- Last updated
- Mar 8, 2011
- Sex
- Male
- 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 | PT6216 | CA | Primary |
Addresses
Primary practice location
40345 Dutton Street
Cherry Valley, CA 92223
Mailing address
40345 Dutton St
Cherry Valley, CA 92223-4527
Phone (951) 845-7313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT6216 | Other | CA | PHYSICAL THERAPIST |
Other names 1
- Mr. Mike Sprenkle
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 |
|---|---|---|---|
| PT6216 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1649578170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40345 DUTTON ST",
"city": "CHERRY VALLEY",
"state": "CA",
"postal_code": "922234527",
"telephone_number": "951-845-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40345 DUTTON STREET",
"city": "CHERRY VALLEY",
"state": "CA",
"postal_code": "92223",
"telephone_number": "951-845-7313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRENKLE",
"first_name": "MIKE",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT6216",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "SPRENKLE",
"prefix": "MR.",
"credential": "RPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cherry Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.