Individual provider Active NPI

Michael John Jimenez, PT

  • Orthopedic Physical Therapist
  • Fresno, CA
National Provider Identifier
1700831765
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT20417 Issued in CA
Practice address
6011 N Fresno St
Fresno, CA 93710-5237
Phone
(559) 436-8155
Fax
(559) 436-8165
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT20417 CA Primary

Addresses

Primary practice location

6011 N Fresno St
Fresno, CA 93710-5237

Mailing address

535 W Decatur Ave
Clovis, CA 93611-6781
Phone (559) 436-8155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000472 CA Practitioner - Physical Therapist in Private Practice 8325034309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jimenez Physical Therapy, IncGroup PAC ID 7517970247, 2 clinicians

Practice addresses (Care Compare)

744 E Bullard Ave
Suite 101
Fresno, CA 93710-5445
Phone (559) 436-8155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jimenez Physical Therapy, Inc Orthopedic CurrentSince Aug 12, 2003 Accepting new patients

Locations

6011 N Fresno St
Ste 120
Fresno, CA 93710
Phone (559) 436-8155

744 E Bullard Ave
#101
Fresno, CA 93710
Phone (559) 436-8155

744 E Bullard Ave
Ste 101
Fresno, CA 93710

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700831765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W DECATUR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116781",
            "telephone_number": "559-436-8155",
            "fax_number": "559-436-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105237",
            "telephone_number": "559-436-8155",
            "fax_number": "559-436-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT20417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.