Individual provider Active NPI

Mitree Michael Piromgraipakd, P.T., D.P.T.

  • Physical Therapist
  • San Bernardino, CA
National Provider Identifier
1861476079
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28630 Issued in CA
Practice address
275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Phone
(909) 567-2221
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT28630 CA Primary

Addresses

Primary practice location

275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238

Mailing address

275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Phone (909) 567-2221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000351 CA Practitioner - Physical Therapist in Private Practice 6507042009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transit Physical Therapy PCGroup PAC ID 3274899315, 26 clinicians

Practice addresses (Care Compare)

100 N Barranca St
Suite 920
West Covina, CA 91791-1654
Phone (626) 263-6469

17051 Sierra Lakes Pkwy
Suite 204
Fontana, CA 92336-1274
Phone (909) 686-6826

1850 N Riverside Ave
Suite 240
Rialto, CA 92376-8082
Phone (909) 258-2220

2280 Market St
Suite 230
Riverside, CA 92501-2120
Phone (951) 289-9454

25915 Barton Rd
Suite 206
Loma Linda, CA 92354-3818
Phone (909) 686-6903

275 W Hospitality LN
San Bernardino, CA 92408-3238
Phone (909) 567-2221

8045 Archibald Ave
Suite 150
Rancho Cucamonga, CA 91730-2874
Phone (909) 310-9850

851 E 6TH St
Suite A4
Beaumont, CA 92223-2371
Phone (909) 756-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28630CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients

Locations

851 E Sixth St
Ste A4
Beaumont, CA 92223
Phone (909) 756-7001

17051 Sierra Lakes Pkwy
Ste 204
Fontana, CA 92336
Phone (909) 686-6826

17051 Sierra Lakes Pkwy
#204
Fontana, CA 92336
Phone (909) 686-6826

25915 Barton Rd
Ste 206
Loma Linda, CA 92354
Phone (909) 686-6903

8045 Archibald Ave
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 310-9850

1850 N Riverside Ave
Ste 240
Rialto, CA 92376
Phone (909) 258-2220

2280 Market St
Ste 230
Riverside, CA 92501
Phone (951) 289-9454

275 W Hospitality Ln
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 101
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

20657 Golden Springs Dr
Ste 113
Walnut, CA 91789
Phone (909) 655-6060

100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861476079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221",
            "fax_number": "909-567-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIROMGRAIPAKD",
        "first_name": "MITREE",
        "middle_name": "MICHAEL",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.