Individual provider Active NPI

Michelle Eileen Fallier, PT, DPPT

  • Physical Therapist
  • Berkeley, CA
National Provider Identifier
1922542711
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2030 Addison St Ste 101
Berkeley, CA 94704-1140
Phone
(510) 644-8031
Fax
(510) 644-8036
NPI assigned
Dec 13, 2016
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 Primary

Addresses

Primary practice location

2030 Addison St Ste 101
Berkeley, CA 94704-1140

Mailing address

332 Pine St Ste 202
San Francisco, CA 94104-3214
Phone (415) 732-5608

Other practice location 1

1420 Key Hwy
Baltimore, MD 21230-5116
Phone (855) 546-0933

Other names 1

  • Michelle Rice Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1922542711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 PINE ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043214",
            "telephone_number": "415-732-5608",
            "fax_number": "415-732-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 ADDISON ST STE 101",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041140",
            "telephone_number": "510-644-8031",
            "fax_number": "510-644-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Key Hwy",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212305116",
            "country_code": "US",
            "telephone_number": "855-546-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLIER",
        "first_name": "MICHELLE",
        "middle_name": "EILEEN",
        "credential": "PT, DPPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.