Individual provider Active NPI

Ann Michele Ongerth, PT

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1821314279
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29646 Issued in CA
Practice address
4442 Piedmont Ave
Oakland, CA 94611-4231
Phone
(510) 388-3664
NPI assigned
Apr 9, 2010
Last updated
Apr 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29646 CA Primary
Pediatric Physical Therapist 2251P0200X 29646 CA

Addresses

Primary practice location

4442 Piedmont Ave
Oakland, CA 94611-4231

Mailing address

147 San Carlos Ave
El Cerrito, CA 94530-4148
Phone (510) 647-8533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803001219 CA Practitioner - Physical Therapist in Private Practice 0547393167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

948 San Pablo Ave
Albany, CA 94706-2010
Phone (510) 526-2353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers, Inc. Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist PastSince May 17, 2019 Accepting new patients

Locations

948 San Pablo Ave
Albany, CA 94706
Phone (510) 526-2353

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

1333 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 676-7431

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

2217 Sunset Blvd
Ste 711
Rocklin, CA 95765
Phone (916) 435-3500

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

5910 Pacific Ave
Stockton, CA 95207
Phone (209) 475-1000

2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510

Organizations & group practices 4

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1821314279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SAN CARLOS AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304148",
            "telephone_number": "510-647-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114231",
            "telephone_number": "510-388-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGERTH",
        "first_name": "ANN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29646",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "29646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.