Individual provider Active NPI

Michelle Roysental, DPT

  • Physical Therapist
  • Morgan Hill, CA
National Provider Identifier
1841991908
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303884 Issued in CA
Practice address
15585 Monterey St Ste D
Morgan Hill, CA 95037-5460
Phone
(669) 377-1133
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 303884 CA Primary

Addresses

Primary practice location

15585 Monterey St Ste D
Morgan Hill, CA 95037-5460

Mailing address

4957 Stuckey Dr
San Jose, CA 95124-5121
Phone (408) 307-9767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612003283 CA Practitioner - Physical Therapist in Private Practice 8224495825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

18625 Sutter Blvd
Suite 500
Morgan Hill, CA 95037-2864
Phone (669) 377-1133

360 Dardanelli LN
Suite 1F
Los Gatos, CA 95032-1421
Phone (408) 378-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC CurrentSince May 1, 2023 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823

929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209

15585 Monterey St
Ste D
Morgan Hill, CA 95037
Phone (669) 377-1133

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1841991908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 STUCKEY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245121",
            "telephone_number": "408-307-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15585 MONTEREY ST STE D",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375460",
            "telephone_number": "669-377-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSENTAL",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.