Active NPI
Michael Bhim, PT
- Physical Therapist
- Elk Grove, CA
National Provider Identifier
1801253067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33602
- Practice address
- 9215 Fife Ranch Way
Elk Grove, CA 95624-3574 - Phone
- (916) 599-2414
- NPI assigned
- Jan 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33602 | CA | Primary |
Addresses
Primary practice location
9215 Fife Ranch Way
Elk Grove, CA 95624-3574
Mailing address
9215 Fife Ranch Way
Elk Grove, CA 95624-3574
Phone (916) 599-2414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33602 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1801253067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9215 FIFE RANCH WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956243574",
"telephone_number": "916-599-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9215 FIFE RANCH WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956243574",
"telephone_number": "916-599-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHIM",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.