Individual provider Active NPI

Michelle Sudaria Daus, DPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1679813539
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39925 Issued in CA
Practice address
6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4235
Phone
(562) 596-7074
Fax
(562) 596-7214
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39925 CA Primary

Addresses

Primary practice location

6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4235

Mailing address

6695 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90803-4235
Phone (562) 596-7074

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Works Physical Therapy Inc Physical Therapist CurrentSince Apr 18, 2013 Accepting new patients

Locations

6695 E Pacific Coast Hwy
Ste 100
Long Beach, CA 90803
Phone (562) 596-7074

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.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1679813539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034235",
            "telephone_number": "562-596-7074",
            "fax_number": "562-596-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034235",
            "telephone_number": "562-596-7074",
            "fax_number": "562-596-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUS",
        "first_name": "MICHELLE",
        "middle_name": "SUDARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.