Provider Demographics
NPI:1356548846
Name:MICHAEL NEASE PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:MICHAEL NEASE PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-818-0583
Mailing Address - Street 1:17815 COUNTRYSIDE CT
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-8804
Mailing Address - Country:US
Mailing Address - Phone:831-444-5989
Mailing Address - Fax:831-632-0600
Practice Address - Street 1:17815 COUNTRYSIDE CT
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907
Practice Address - Country:US
Practice Address - Phone:831-444-5989
Practice Address - Fax:831-632-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT293212Medicare ID - Type UnspecifiedID NUMBER