Spine and Sport Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CA27078 Issued in CA

Legal business name

SPINE AND SPORT PHYSICAL THERAPY, INC

Practice address

32261 Camino Capistrano
Suite D101
San Juan Capistrano, CA 92675-3746

Phone

(949) 429-2155

Fax

(949) 429-2151

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Paul BatchelorNPI 1932389996

Title

Owner, President

Phone

(949) 429-2155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Paul Gregory Batchelor

  • Orthopedic Physical Therapist
  • San Juan Capistrano, CA
  • NPI 1932389996
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Marie De la O

  • Orthopedic Physical Therapist
  • San Juan Capistrano, CA
  • NPI 1164602124
  Medicare reassignment Care Compare group NPD
• Samuel Pica

  • Physical Therapist
  • San Juan Capistrano, CA
  • NPI 1326852971
  Medicare reassignment Care Compare group NPD
• Kendall Noel Jones, PTA

  • Physical Therapy Assistant
  • San Juan Capistrano, CA
  • NPI 1619733144
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1033142013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32261 CAMINO CAPISTRANO",
            "address_2": "SUITE D101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753746",
            "telephone_number": "949-429-2155",
            "fax_number": "949-429-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32261 CAMINO CAPISTRANO",
            "address_2": "SUITE D101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753746",
            "telephone_number": "949-429-2155",
            "fax_number": "949-429-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORT PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "949-429-2155"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "CA27078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Orange County Wellness LLC
• South Shores Detox LLC (Anchored Recovery Community)
• Southern California Assistant Surgeons Inc.
• Patricia Lucia Speier-Torres, LCSW
• Garrett Todd Spencer, PT
• Sports Medicine Institute South Orange County
• St Cyril Inc (Camino Capistrano Pharmacy)
• Tiffany Chere Stacy, HIS
• Bradford J. Staph, DDS
• Steven Stappaerts, MD

• Physical Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.