Superior Wound Care and Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUPERIOR WOUND CARE AND PHYSICAL THERAPY, INC

Practice address

1441 Superior Ave Ste D
Newport Beach, CA 92663-2700

Phone

(949) 646-0653

Fax

(949) 646-9228

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Monica J Lucas, PTNPI 1376819227

Title

Owner

Phone

(949) 646-0653

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.

• Monica Lucas, PT

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1376819227
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1013487677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SUPERIOR AVE STE D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632700",
            "telephone_number": "949-646-0653",
            "fax_number": "949-646-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SUPERIOR AVE STE D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632700",
            "telephone_number": "949-646-0653",
            "fax_number": "949-646-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR WOUND CARE AND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-646-0653",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Performance Physical Therapy PC
• Superior Psychiatric Services
• Superior Surgery Center
• Superior Surgery Center
• Superior TMS Center
• Roger Sur, MD
• Ahlam Suradi
• Spurty Surapaneni, LP
• Deepak Pachagiri Suresh, M.D.
• Morgan Surfas, PA-C

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.