Micaela Pulliam

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15002 Issued in CA

Practice address

1323 W Colton Ave Ste 105
Redlands, CA 92374-2853

Phone

(909) 978-7997

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Total Care Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Colton, CA
  • NPI 1831441054
  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1700472628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W COLTON AVE STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742853",
            "telephone_number": "909-978-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W COLTON AVE STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742853",
            "telephone_number": "909-978-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "MICAELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Nicole Pugh, M.S., CCC-SLP
• Stephanie Pulido
• Yvonne Pulido
• Jacob Townsend Pulliam
• Johanna Pulliam, M.S.
• Pulmocare Respiratory Services Inc
• Anil Pitamber Punjabi, MD, DDS
• Bindoo Anil Punjabi, D.D.S.
• Purely Bright Therapy Services, Inc
• Gilbert J Putnoky, M.D.

• Speech-Language Pathologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.