Individual provider Active NPI

James McMichael, MSPT

  • Physical Therapist
  • Pagosa Springs, CO
National Provider Identifier
1972167641
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6748 Issued in CO
Practice address
2839 Cornerstone Dr Ste 3
Pagosa Springs, CO 81147-8266
Phone
(970) 507-8668
Fax
(970) 507-3636
NPI assigned
Apr 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 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 6748 CO Primary

Addresses

Primary practice location

2839 Cornerstone Dr Ste 3
Pagosa Springs, CO 81147-8266

Mailing address

2839 Cornerstone Dr Ste 3
Pagosa Springs, CO 81147-8266
Phone (970) 507-8668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jim.mcmichael@fyzical.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207001943 CO Practitioner - Physical Therapist in Private Practice 0941672695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehab and Fitness Joint IncGroup PAC ID 7214309962, 3 clinicians

Practice addresses (Care Compare)

2839 Cornerstone Dr
Suite 3
Pagosa Springs, CO 81147-8215
Phone (970) 507-8668

700 N Henson St
Lake City, CO 81235-5134
Phone (970) 507-8668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6748COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehab and Fitness Joint, Inc. Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

2839 Cornerstone Dr
Ste 3
Pagosa Springs, CO 81147
Phone (303) 880-8366

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": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1972167641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 CORNERSTONE DR STE 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478266",
            "telephone_number": "970-507-8668",
            "fax_number": "970-507-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 CORNERSTONE DR STE 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478266",
            "telephone_number": "970-507-8668",
            "fax_number": "970-507-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "JAMES",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-27",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jim.mcmichael@fyzical.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2839 Cornerstone Dr Ste 3",
            "city": "Pagosa Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811478266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.