Active NPI
Michael Jon Weiss
- Physical Therapist
- Folsom, CA
National Provider Identifier
1831247303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 14220
- Practice address
- 2575 E Bidwell St Ste 160
Folsom, CA 95630-6446 - Phone
- (916) 932-1210
- NPI assigned
- Jan 8, 2007
- 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 | PT 14220 | CA | Primary |
Addresses
Primary practice location
2575 E Bidwell St Ste 160
Folsom, CA 95630-6446
Mailing address
2575 E Bidwell St Ste 160
Folsom, CA 95630-6446
Phone (916) 932-1210
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 14220 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Spine & Physical Therapy Inc. | Current | Accepting new patients | |
| Sacramento Spine & Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
700 Oak Avenue Pkwy
Ste B
Folsom, CA 95630
Phone (916) 932-1210
2575 E Bidwell St
Ste 160
Folsom, CA 95630
Phone (916) 817-3730
1650 Lead Hill Blvd
Ste 300
Roseville, CA 95661
Phone (916) 677-1210
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 Therapist
- Folsom, CA
- NPI 1740399690
-
- Orthopedic Physical Therapist
- Roseville, CA
- NPI 1851469845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1831247303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 E BIDWELL ST STE 160",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306446",
"telephone_number": "916-932-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 E BIDWELL ST STE 160",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306446",
"telephone_number": "916-932-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "MICHAEL",
"middle_name": "JON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 14220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.