Individual provider Active NPI

James William Herkimer, PT

  • Orthopedic Physical Therapist
  • Orange, CA
National Provider Identifier
1861498644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT22620 Issued in CA
Practice address
1178 N Tustin St
Orange, CA 92867-6006
Phone
(714) 543-0542
Fax
(714) 543-1057
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT22620 CA Primary

Addresses

Primary practice location

1178 N Tustin St
Orange, CA 92867-6006

Mailing address

1178 N Tustin St
Orange, CA 92867-6006
Phone (714) 543-0542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000606 CA Practitioner - Physical Therapist in Private Practice 5092812818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26672 Portola Pkwy
Suite 116
Foothill Ranch, CA 92610-1773
Phone (714) 450-4999

871 S Tustin St
Orange, CA 92866-3426
Phone (714) 633-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22620CAMDOrthopedic Physical Therapist
22620CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Conditioning and Rehabilitation of California Inc Orthopedic CurrentSince May 1, 2007 Accepting new patients
Prosport Physical Therapy Professionals Inc CurrentSince Nov 4, 2022 Accepting new patients
Prosport Physical Therapy Professionals Inc Orthopedic Current Accepting new patients
Prosport Physical Therapy Professionals Inc Orthopedic CurrentSince Nov 4, 2022 Accepting new patients
Milan Physical Therapy & Associates Inc. Orthopedic PastSince Feb 20, 2017 Accepting new patients
Hairston & Daley Physical Therapy, a Professional Corporation Orthopedic PastSince Jan 1, 2002 Accepting new patients

Locations

26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999

871 S Tustin St
Orange, CA 92866
Phone (714) 633-7227

Organizations & group practices 6

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861498644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676006",
            "telephone_number": "714-543-0542",
            "fax_number": "714-543-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676006",
            "telephone_number": "714-543-0542",
            "fax_number": "714-543-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERKIMER",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.