MRS. MICHELLE MARIE BRODIE (NPI# 1467659607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467659607 |
Entity Type | Individual |
Full Name | MRS. MICHELLE MARIE BRODIE |
Credential | MS |
Practice Address |
4650 Palm Ave San Diego CA 92154-8404 |
Mailing Address |
4237 Hilldale Rd San Diego CA 92116-2113 |
Practice Telephone | 6196625226 |
Mailing Telephone | 6197950324 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT28069 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4650 PALM AVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92154-8404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396732715 | Michael Joseph Distefano | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2005-09-30 |
1164900312 | Phillip Frangie | Respiratory Therapist, Registered | 4650 Palm Ave, San Diego, CA 92154-8404 | 2018-07-31 |
1902393416 | Anthony Rossetti | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2018-04-19 |
1447766589 | Eleanor Del Rosario Pizarro | Nurse Practitioner | 4650 Palm Ave, San Diego, CA 92154-8404 | 2017-12-27 |
1689110827 | Lauren Aragon | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2017-01-11 |
1538528161 | Khanh Minh Nguyen | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2016-02-10 |
1326410747 | Diane Del Rosario | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2015-10-25 |
1649671686 | Sang Hui Luu | Pharmacist | 4650 Palm Ave, Kaiser Otay Mesa Outpatient Pharmacy, San Diego, CA 92154-8404 | 2014-09-09 |
1568878080 | Carina Lopez | Student in an Organized Health Care Education/Training Program | 4650 Palm Ave, San Diego, CA 92154-8404 | 2014-07-03 |
1548675754 | Aimee Anselm | Pediatrics | 4650 Palm Ave, San Diego, CA 92154-8404 | 2014-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
Find all providers in zip 92154 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144851197 | Maxine Joyce | Physical Therapist | 15004 Innovation Dr # 4s-205, San Diego, CA 92128-3491 | 2020-01-29 |
1679907489 | Malawey Physical Therapy Services P.C. | Physical Therapist | 16885 Via Del Campo Ct Ste 215, San Diego, CA 92127-1790 | 2013-08-28 |
1255667671 | Spencer Goff | Physical Therapist | 1277 Glencoe Dr, San Diego, CA 92114-3400 | 2009-10-20 |
1720287568 | Wanda Jk Crook | Physical Therapist | 16870 W Bernardo Dr, Suite 400, San Diego, CA 92127-1677 | 2007-07-12 |
1023215084 | Nanci Haruko Quinones Clifford | Physical Therapist | 4650 Palm Ave., San Diego, CA 92173-0000 | 2007-07-02 |
1275164428 | Helen Shen Chan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-01-27 |
1033458674 | Molly Anne Mcleod | Physical Therapist | 2999 Health Center Dr, San Diego, CA 92123-2762 | 2013-02-01 |
1538351374 | Melissa S. Doyle | Physical Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902417355 | Aryana Carvalho-mires | Physical Therapist | 11500 W Olympic Blvd Ste 415, Los Angeles, CA 90064-1536 | 2020-08-10 |
1649899196 | Elisabeth Alisa Brown | Physical Therapist | 512 Acorn Ct, Scotts Valley, CA 95066-4582 | 2020-04-14 |
1861028029 | Darrell R Musick | Physical Therapist | 1033 Willow Lake Rd, Discovery Bay, CA 94505-9402 | 2020-03-19 |
1790293512 | Rachel Tran | Physical Therapist | 2356 N San Benito Ct, Claremont, CA 91711-1537 | 2018-01-15 |
1689189235 | Jill D See | Physical Therapist | 843 Health Sciences Rd Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
1528588423 | Nathan S. Hohsfield | Physical Therapist | 923 Millson Court, Galt, CA 95632-3402 | 2017-06-21 |
1578013561 | Xiaoyin Wang | Physical Therapist | 50 Lansing St Unit 508, San Francisco, CA 94105-4684 | 2016-10-13 |
1831646181 | Chelsea Richardson | Physical Therapist | 3848 W Carson St Ste 110, Torrance, CA 90503-6704 | 2016-09-03 |
1851788038 | Elline Rose Drilon Linterna | Physical Therapist | 2371 Shawn Dr, San Pablo, CA 94806-1658 | 2015-04-24 |
1649678558 | Naohiko Shimada | Physical Therapist | 20404 Anza Ave Apt 24, Torrance, CA 90503-2343 | 2014-12-09 |
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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.