Ulysses Venegas Mireles, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60197079 Issued in WA

Practice address

6415 N Monroe
Spokane, WA 99208-4121

Phone

(509) 327-4867

Fax

(509) 327-0542

NPI assigned

Jan 20, 2011

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Male

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)

Enrolled

Practice roles

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.

• B&B Physical Therapy Inc

  • Physical Therapist
  • Spokane, WA
  • NPI 1588778823
  NPD (past)

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1699070763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 N MONROE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084121",
            "telephone_number": "509-327-4867",
            "fax_number": "509-327-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 N MONROE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084121",
            "telephone_number": "509-327-4867",
            "fax_number": "509-327-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "ULYSSES",
        "middle_name": "VENEGAS",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60197079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M Minoia, CHT
• Devin Richard Minson
• Nancy L Minten, M.D.
• Nicole Minter
• Marissa Minton
• Rebecca Ray Mischel, LMP
• Rachael R Mishanec, PSY.D.
• Lucas Miskus
• Mist and Meadow Psychiatry, PLLC
• Abigail S Mitch, RD

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.