BRIAN MICHELETTI (NPI# 1336269463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336269463 |
| Entity Type | Individual |
| Full Name | BRIAN MICHELETTI |
| Credential | PT |
| Practice Address |
23456 Hawthorne Blvd Suite 200 Torrance CA 90505-4716 |
| Practice Telephone | 3107419090 |
| Mailing Telephone | 3107419090 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT23806 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PT LICENSE | PT23806 | 01 |
| Street Address |
23456 HAWTHORNE BLVD SUITE 200 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306498 | Travis J Mckay | Physical Therapist | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 | 2005-09-13 |
| 1891303970 | Katherine Maureen Fester | Physical Therapist | 23456 Hawthorne Blvd, #200, Torrance, CA 90505 | 2020-07-15 |
| 1184240509 | Ariel Guerrero | Radiologic Technologist | 23456 Hawthorne Blvd, Suite 200, Torrance, CA 90505 | 2020-06-22 |
| 1013389253 | Nuvayda, LLC | Clinic/Center | 23456 Hawthorne Blvd, Suite 260, Torrance, CA 90505-4716 | 2015-10-27 |
| 1780075119 | Sanaz Hamzehpour Dds, Inc. | Dentist | 23456 Hawthorne Blvd, Suite 210, Torrance, CA 90505-4716 | 2015-02-06 |
| 1538569207 | Cutting Edge Surgery Center, LLC | Clinic/Center | 23456 Hawthorne Blvd, Suite 130, Torrance, CA 90505 | 2014-08-29 |
| 1548674138 | Sas Surgery Center, LLC | Clinic/Center | 23456 Hawthorne Blvd, Suite 110, Torrance, CA 90505-4716 | 2014-06-12 |
| 1922418870 | Kenneth K. Park, M.d., Inc. | Non-Pharmacy Dispensing Site | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 | 2014-04-30 |
| 1952731333 | Pinky Portia Tsotesi | Physical Therapy Assistant | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 | 2013-11-20 |
| 1811237456 | Franklin Alexander Ortiz | Specialist | 23456 Hawthorne Blvd, Torrance, CA 90505-4716 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447753793 | Ryan Earl Cirac | Physical Therapist | 23456 Hawthorne Blvd Ste 205, Torrance, CA 90505-4716 | 2018-03-13 |
| 1811358641 | National Institute of Restorative Exercise | Physical Therapist | 23504 Leyte Dr, Torrance, CA 90505-4524 | 2016-03-07 |
| 1154602498 | Brigitte Marie Del'homme | Physical Therapist | 23456 Hawthorne Blvd Ste 300b, Torrance, CA 90505-4716 | 2011-08-31 |
| 1306141494 | Amy Louise David | Physical Therapist | 23430 Hawthorne Blvd Ste 105, Torrance, CA 90505-4777 | 2011-01-20 |
| 1396054953 | Women's Advantage Physical Therapy Inc | Physical Therapist | 20911 Earl St Ste 300, Torrance, CA 90503-4353 | 2010-09-30 |
| 1013236678 | Handson Home Health | Physical Therapist | 2433 Moreton St, Torrance, CA 90505-5310 | 2010-05-21 |
| 1982750337 | Paula Quijano | Physical Therapist | 1739 Lincoln Ave Apt 17f, Torrance, CA 90501-4733 | 2007-01-26 |
| 1821184946 | Steven A Roseboro | Physical Therapist | 1407 Crenshaw Blvd Ste 103, Torrance, CA 90501-0424 | 2006-10-05 |
| 1588146344 | Stanley Fung | Physical Therapist | 23456 Hawthorne Blvd Ste 200, Torrance, CA 90505-4716 | 2018-08-29 |
| 1780171389 | Allison Dillon Kemsley | Physical Therapist | 23430 Hawthorne Blvd Ste 105, Torrance, CA 90505-4777 | 2018-04-18 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.