San Buenaventura Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28752 Issued in CA

Legal business name

SAN BUENAVENTURA PHYSICAL THERAPY

Practice address

2807 Loma Vista Rd
Suite 104
Ventura, CA 93003-1500

Phone

(805) 216-8889

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Ryan R Meyers, PT

Title

Owner

Phone

(805) 216-8889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033379011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KATHERINE AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036760",
            "telephone_number": "805-216-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "SUITE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-216-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BUENAVENTURA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-216-8889",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Samay, CCP
• Julianna Samoff
• Derek Sampey
• Alane J Samuels, MS CCC SLP
• Angelynn San Agustin-Medina, P.T.
• Doyle San Nicolas, M.A.
• Sara San Pedro
• Ruben Sanchez Morales, CADTP
• Jasmin Sanchez Rocha, RBT
• Alyssa Sanchez

• Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.