Demetrios Spine and Wellness Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DEMETRIOS SPINE AND WELLNESS PHYSICAL THERAPY, INC.

Practice address

31019 Rose Arbor CT
Murrieta, CA 92563-7139

Phone

(951) 436-8064

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Jo Elaine Rochelle Milo Aisporna, DPTNPI 1205582855

Title

Clinical Director/Owner

Phone

(951) 436-8064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo Elaine Rochelle Milo Aisporna, DPT

  • Physical Therapist
  • Murrieta, CA
  • NPI 1205582855

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1003562653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31019 ROSE ARBOR CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637139",
            "telephone_number": "951-436-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31019 ROSE ARBOR CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637139",
            "telephone_number": "951-436-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRIOS SPINE AND WELLNESS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "AISPORNA",
        "authorized_official_first_name": "JO ELAINE ROCHELLE",
        "authorized_official_middle_name": "MILO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "951-436-8064",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rebecca Delgado
• Jordan Deliman, DPM
• Eleana Elizabeth Delpesh
• Deluna Dental Corporation
• Lisa Nicole Demattia, PT/DPT/OCS
• Matthew Denney
• Michelle Dennis
• Cindy G Denuccio, MFT
• Jordan Jonathan Derain
• Dermatology Specialists, Inc

• Physical Therapy Clinic/Center in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.