Individual provider Active NPI

Michael Ryan Svozil

  • Physical Therapist
  • Madera, CA
National Provider Identifier
1689409625
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306668 Issued in CA
Practice address
309 S Gateway Dr
Madera, CA 93637-3531
Phone
(650) 455-1441
NPI assigned
Sep 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 306668 CA Primary

Addresses

Primary practice location

309 S Gateway Dr
Madera, CA 93637-3531

Mailing address

266 Aviador Ave
Millbrae, CA 94030-2750
Phone (650) 455-1441

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

State licenses

LicenseStateTypeSpecialty
306668CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrows Training & Ed - P T Fresno a P C Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients

Locations

309 S Gateway Dr
Madera, CA 93637
Phone (559) 438-0355

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1689409625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 AVIADOR AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302750",
            "telephone_number": "650-455-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S GATEWAY DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373531",
            "telephone_number": "650-455-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOZIL",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.