Michelle McCarthy Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

23396 Issued in CA

Legal business name

MICHELLE MCCARTHY PHYSICAL THERAPY, INC

Doing business as

McCarthy Physical Therapy

Practice address

11835 W. Olympic Blvd
Suite 135E
Los Angeles, CA 90064

Phone

(424) 781-3388

Fax

(888) 798-0831

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Michelle McCarthy, PT, DPT, OCSNPI 1548283443

Title

President

Phone

(424) 781-3388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McCarthy Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Anne McCarthy, P.T.,D.PT., O.C.S.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1548283443
  Medicare reassignment NPD Authorized official
• Sonja Andrea Reese, MPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1538476684
  Medicare reassignment NPD

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1700284957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 S. SEPULVEDA BLVD",
            "address_2": "SUITE D-271",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "424-781-3388",
            "fax_number": "888-798-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W. OLYMPIC BLVD",
            "address_2": "SUITE 135E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "424-781-3388",
            "fax_number": "888-798-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MCCARTHY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-781-3388",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "23396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1548283443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCarthy Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle H. Lee, M.D., Professional Corporation
• Michelle Harwell Therapy
• Michelle Ischayek DO PC
• Michelle K Malloy Acupuncture and Wellness Inc.
• Michelle M Kelman DDS PC
• Michelle Mine NA
• Michelle Pullum
• Jenny Michelsen
• Lauren Michelson
• William Michelson, LMFT

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.