Michelle Hedgcock

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39651 Issued in CA

Practice address

110 Jensen CT
Suite 2C
Thousand Oaks, CA 91361-7485

Phone

(805) 413-1070

Fax

(805) 413-1076

NPI assigned

Apr 20, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Physical Therapy Services IncGroup PAC ID 7810881083, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Sunrise Physical Therapy Services, Inc

  • Orthopedic Physical Therapist
  • Oxnard, CA
  • NPI 1275553034
  Medicare reassignment Care Compare group NPD
• Westlake Physical Therapy, Inc.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1558498337
  NPD (past)
• Sunrise Physical Medicine and Wellness Center, Inc.

  • Chiropractor
  • Sunrise, FL
  • NPI 1043323298
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1750735304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613747",
            "telephone_number": "805-777-7370",
            "fax_number": "805-777-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JENSEN CT",
            "address_2": "SUITE 2C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913617485",
            "telephone_number": "805-413-1070",
            "fax_number": "805-413-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGCOCK",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Center Cardiology
• Heart Grace Cares Foundation
• Lydia Anne Heays, AUD
• Joshua Hedaya, M.D.
• Tinoush Hedayat, DMD
• Neema Heivand
• Nichole L Helm
• Arthur R Hemm, DDS
• Eric Michael Hendrickson, DO
• Edward Y Henjyoji, MD

• Physical Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.