Individual provider Active NPI

Michele Katherine Cazalas, P.T.

  • Physical Therapist
  • Spring Valley, CA
National Provider Identifier
1841244928
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13087 Issued in CA
Practice address
2082 Pointe Pkwy
Spring Valley, CA 91978-2018
Phone
(619) 838-6158
Fax
(619) 660-0495
NPI assigned
May 21, 2006
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT13087 CA Primary

Addresses

Primary practice location

2082 Pointe Pkwy
Spring Valley, CA 91978-2018

Mailing address

PO Box 2736
Spring Valley, CA 91979-2736
Phone (619) 573-6373

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT13087CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MC Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1841244928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2736",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919792736",
            "telephone_number": "619-573-6373",
            "fax_number": "619-378-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 POINTE PKWY",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919782018",
            "telephone_number": "619-838-6158",
            "fax_number": "619-660-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZALAS",
        "first_name": "MICHELE",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.