Active NPI
Michelle Preston-Smith, P.T., D.P.T.
- Physical Therapist
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15272
- Practice address
- 3184 Collins Dr
Merced, CA 95348-3132 - Phone
- (209) 230-5289
- Fax
- (209) 222-6185
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- 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 | PT15272 | CA | Primary |
Addresses
Primary practice location
3184 Collins Dr
Merced, CA 95348-3132
Mailing address
1518 Coffee Rd Ste I
Modesto, CA 95355-3164
Phone (209) 576-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15272 | CA | MD | Physical Therapist |
| 15272 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Gold Country Therapies, Inc | Past | Accepting new patients |
Locations
1229 Commerce Ave
Atwater, CA 95301
Phone (209) 683-1386
3184 Collins Dr
Merced, CA 95348
Phone (209) 230-5289
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1518 Coffee Rd
Ste I
Modesto, CA 95355
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1821013897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 COFFEE RD STE I",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553164",
"telephone_number": "209-576-0888",
"fax_number": "209-576-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 COLLINS DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953483132",
"telephone_number": "209-230-5289",
"fax_number": "209-222-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON-SMITH",
"first_name": "MICHELLE",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.