Samuel Edward Mieske, MPT - Physical Therapist in Fullerton, CA

Samuel Edward Mieske, MPT is a Physical Therapist based in Fullerton, California. Samuel Edward Mieske is licensed to practice in California (license number 30451) and his current practice location is 2000 E Chapman Ave Ste 100, Fullerton, California. He can be reached at his office (for appointments etc.) via phone at (714) 870-1744.

NPI number for Samuel Edward Mieske is 1720295116 and his current mailing address is 500 Ximeno Ave Apt 224, Long Beach, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720295116.

Contact Information

Samuel Edward Mieske, MPT
2000 E Chapman Ave Ste 100,
Fullerton, CA 92831-4106
(714) 870-1744
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Edward Mieske
GenderMale
SpecialityPhysical Therapist
Location2000 E Chapman Ave Ste 100, Fullerton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720295116
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Samuel Edward Mieske such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720295116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 30451 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Edward Mieske is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Edward Mieske, MPT
500 Ximeno Ave Apt 224,
Long Beach, CA 90814-4509

Ph: (562) 856-7640
Samuel Edward Mieske, MPT
2000 E Chapman Ave Ste 100,
Fullerton, CA 92831-4106

Ph: (714) 870-1744

Reviews and Comments


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