Individual provider Active NPI

Michelle Eisenberg, PT

  • Ergonomics Physical Therapist
  • San Diego, CA
National Provider Identifier
1760617781
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
License
PT 14819 Issued in CA
Practice address
4165 Via Candidiz Unit 30
San Diego, CA 92130-2189
Phone
(858) 481-2535
Fax
(858) 481-2532
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X PT 14819 CA Primary

Addresses

Primary practice location

4165 Via Candidiz Unit 30
San Diego, CA 92130-2189

Mailing address

PO Box 12501
La Jolla, CA 92039-2501
Phone (858) 481-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 14819CAMDErgonomics Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1760617781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12501",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920392501",
            "telephone_number": "858-481-2535",
            "fax_number": "858-481-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 VIA CANDIDIZ UNIT 30",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302189",
            "telephone_number": "858-481-2535",
            "fax_number": "858-481-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT 14819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.