Individual provider Active NPI

Michelle Parcell, P.T.

  • Physical Therapist
  • Corona, CA
National Provider Identifier
1881654762
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15168 Issued in CA
Practice address
1113 S Main St
Ste a
Corona, CA 92882-4455
Phone
(951) 737-1965
NPI assigned
Mar 24, 2006
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 PT15168 CA Primary

Addresses

Primary practice location

1113 S Main St
Ste a
Corona, CA 92882-4455

Mailing address

8843 Cuyamaca St
Corona, CA 92883-2111
Phone (951) 833-4675

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
PT15168CAMDPhysical Therapist
15168CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ieptsir, Inc. Past Accepting new patients
Bodybasics Physical Therapy, Inc. Past Accepting new patients
Lifetime Physical Therapy and Fitness Inc Physical Therapist PastSince Feb 19, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.parcell.p1@direct.newportortho.nextgenshare.com
  • Direct secure messaging: michelle.parcellpt.p1@direct.osiortho.nextgenshare.com

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, 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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1881654762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8843 CUYAMACA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928832111",
            "telephone_number": "951-833-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST",
            "address_2": "STE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824455",
            "telephone_number": "951-737-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCELL",
        "first_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.