NPIMap

Organization Active NPI

Total Body Rehabilitation, Inc.

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1003034075
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT24777 Issued in CA
Legal business name
TOTAL BODY REHABILITATION, INC.
Practice address
210 Newport Center Dr
Suite 3
Newport Beach, CA 92660-7530
Phone
(949) 719-2600
Fax
(949) 719-2626
NPI assigned
Apr 23, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Fischer, P.T.NPI 1285826206
Title
Owner
Phone
(949) 249-2456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X PT24777 CA Primary

Addresses

Primary practice location

210 Newport Center Dr
Suite 3
Newport Beach, CA 92660-7530

Mailing address

30301 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5990
Phone (949) 249-2456

Other names 1

  • Pure Pilates Other name

National Provider Directory

National Provider Directory

Locations

1701 Corporate Dr
Ste C4
Ladera Ranch, CA 92694
Phone (949) 364-1115

30301 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 249-2456

210 Newport Center Dr
Ste 3
Newport Beach, CA 92660
Phone (949) 249-2456

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1003034075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 GOLDEN LANTERN",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775990",
            "telephone_number": "949-249-2456",
            "fax_number": "949-249-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEWPORT CENTER DR",
            "address_2": "SUITE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607530",
            "telephone_number": "949-719-2600",
            "fax_number": "949-719-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-249-2456",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT24777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Pilates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.