Organization Active NPI

Stand Tall Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1063613651
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT12019 Issued in CA
Legal business name
STAND TALL PHYSICAL THERAPY, INC.
Practice address
2043 Westcliff Dr
Suite 305
Newport Beach, CA 92660-5537
Phone
(949) 515-7701
Fax
(949) 515-7702
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Ms. Kirsten Sverdrup Robinson, P.T.
Title
Owner
Phone
(949) 515-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT12019 CA Primary

Addresses

Primary practice location

2043 Westcliff Dr
Suite 305
Newport Beach, CA 92660-5537

Mailing address

2043 Westcliff Dr
Suite 305
Newport Beach, CA 92660-5537
Phone (949) 515-7701

National Provider Directory

National Provider Directory

Locations

2043 Westcliff Dr
#305
Newport Beach, CA 92660
Phone (949) 515-7701

2043 Westcliff Dr
Ste 305
Newport Beach, CA 92660
Phone (949) 515-7701

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1063613651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 WESTCLIFF DR",
            "address_2": "SUITE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605537",
            "telephone_number": "949-515-7701",
            "fax_number": "949-515-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 WESTCLIFF DR",
            "address_2": "SUITE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605537",
            "telephone_number": "949-515-7701",
            "fax_number": "949-515-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND TALL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "SVERDRUP ROBINSON",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-515-7701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT12019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.