Michale Wayne Hamlin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300322 Issued in CA

Practice address

26672 Portola Pkwy Ste 116
Foothill Ranch, CA 92610-1773

Phone

(949) 518-1220

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Levitate Physical Therapy and Sports Performance

  • Physical Therapist
  • Fullerton, CA
  • NPI 1881413318
  NPD Authorized official

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1932777604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9973 DEL MAR AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26672 PORTOLA PKWY STE 116",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101773",
            "telephone_number": "949-518-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "MICHALE",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Gray
• Consuelo Kaye Grimes
• Gulraiz Medical and Psychiatric Nursing Care (Maryam Gulraiz)
• Maryam Gulraiz, PMHNP-BC, FNP-C
• Soha Haghani, DDS
• Suzan Hashemi, L.AC
• Amina Hassan-Elsayed, M.D.
• Roy Masato Hayashi, D.M.D
• Samuel Michael Herringshaw, DPT, PT
• Gregg E Hill, PAC

• Physical Therapist in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.