Individual provider Active NPI

Michele Elaine Michael, MSPT

  • Physical Therapist
  • Rancho Palos Verdes, CA
National Provider Identifier
1699161737
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32024 Issued in CA
Practice address
5701 Crestridge Rd
Rancho Palos Verdes, CA 90275-4962
Phone
(310) 377-9977
NPI assigned
Apr 15, 2015
Last updated
Apr 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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 32024 CA Primary

Addresses

Primary practice location

5701 Crestridge Rd
Rancho Palos Verdes, CA 90275-4962

Mailing address

9690 Brookline Ave
Desert Hot Springs, CA 92240-1256
Phone (951) 252-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710001027 CA Practitioner - Physical Therapist in Private Practice 0547539447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32024CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Rehab Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1699161737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 BROOKLINE AVE",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922401256",
            "telephone_number": "951-252-7746",
            "fax_number": "877-748-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CRESTRIDGE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754962",
            "telephone_number": "310-377-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MICHELE",
        "middle_name": "ELAINE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.