Individual provider Active NPI

Michelle Hedrick McKay, P.T.

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1730281791
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14684 Issued in CA
Practice address
360 San Miguel Dr
301
Newport Beach, CA 92660-7853
Phone
(949) 759-0300
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 14684 CA Primary

Addresses

Primary practice location

360 San Miguel Dr
301
Newport Beach, CA 92660-7853

Mailing address

360 San Miguel Dr Ste 301
Newport Beach, CA 92660-7820
Phone (949) 759-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001652 CA Practitioner - Physical Therapist in Private Practice 3678871381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

10540 Talbert Ave
Suite 250W
Fountain Valley, CA 92708-6045
Phone (714) 964-0727

1176 N Euclid St
Anaheim, CA 92801-1900
Phone (714) 772-5040

1520 Nutmeg PL
Suite 111
Costa Mesa, CA 92626-2557
Phone (714) 979-3500

15825 Laguna Canyon Rd
Suite 202
Irvine, CA 92618-2127
Phone (949) 653-7878

2 Journey
Suite 101
Aliso Viejo, CA 92656-3372
Phone (949) 349-9555

30112 Crown Valley Pkwy
Laguna Niguel, CA 92677-2042
Phone (949) 363-7716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14684CAMDGeneral Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 7, 2022 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 7, 2022 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

1176 N Euclid St
Anaheim, CA 92801
Phone (714) 319-7738

442 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 998-8764

10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727

4870 Barranca Pkwy
Ste 340
Irvine, CA 92604
Phone (949) 653-7878

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

707 Lincoln Ctr
Stockton, CA 95207
Phone (209) 470-5101

Organizations & group practices 7

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1730281791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607820",
            "telephone_number": "949-759-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-759-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MICHELLE",
        "middle_name": "HEDRICK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.