Individual provider Active NPI

Michael Christopher Nease, P.T.

  • Physical Therapist
  • Prunedale, CA
National Provider Identifier
1750484101
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29321 Issued in CA
Practice address
17815 Countryside CT
Prunedale, CA 93907-8804
Phone
(831) 444-5989
Fax
(831) 663-9422
NPI assigned
Sep 7, 2006
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 PT29321 CA Primary

Addresses

Primary practice location

17815 Countryside CT
Prunedale, CA 93907-8804

Mailing address

17815 Countryside CT
Prunedale, CA 93907-8804
Phone (831) 444-5989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000695 CA Practitioner - Physical Therapist in Private Practice 1052353901 Receives reassigned benefits from 1 practitioner
Practice locations: Salinas, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17815 Countryside CT
Salinas, CA 93907-8804
Phone (831) 444-5989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Nease Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 1990 Accepting new patients
Barbara Macfarlane Past Accepting new patients

Locations

17815 Countryside Ct
Salinas, CA 93907
Phone (831) 444-5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2990/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1750484101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 COUNTRYSIDE CT",
            "city": "PRUNEDALE",
            "state": "CA",
            "postal_code": "939078804",
            "telephone_number": "831-444-5989",
            "fax_number": "831-663-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 COUNTRYSIDE CT",
            "city": "PRUNEDALE",
            "state": "CA",
            "postal_code": "939078804",
            "telephone_number": "831-444-5989",
            "fax_number": "831-663-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEASE",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prunedale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.