Organization Active NPI

Connection Therapy Clinic Inc

  • Occupational Therapist
  • Laguna Niguel, CA
National Provider Identifier
1023748423
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CONNECTION THERAPY CLINIC INC
Practice address
30011 Ivy Glenn Dr Ste 125
Laguna Niguel, CA 92677-5017
Phone
(949) 385-1410
Fax
(714) 692-5252
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Stephanie Fluger
Title
Part Owner
Phone
(714) 904-3123

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

30011 Ivy Glenn Dr Ste 125
Laguna Niguel, CA 92677-5017

Mailing address

30011 Ivy Glenn Dr Ste 125
Laguna Niguel, CA 92677-5017
Phone (949) 385-1410

National Provider Directory

National Provider Directory

Locations

2 Liberty
Aliso Viejo, CA 92656

27131 Aliso Creek Rd
Ste 140
Aliso Viejo, CA 92656

27611 La Paz Rd
Ste D
Laguna Niguel, CA 92677
Phone (949) 385-1410

30011 Ivy Glenn Dr
Ste 125
Laguna Niguel, CA 92677
Phone (949) 385-1410

27932 La Paz Rd
Ste C
Laguna Niguel, CA 92677

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1023748423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 125",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775017",
            "telephone_number": "949-385-1410",
            "fax_number": "714-692-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 125",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775017",
            "telephone_number": "949-385-1410",
            "fax_number": "714-692-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTION THERAPY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-05-13",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "FLUGER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "714-904-3123"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.