Active NPI
Eastbluff Physical Rehabilitation, Inc.
- Orthopedic Physical Therapist
- Corona del Mar, CA
National Provider Identifier
1073633384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- EASTBLUFF PHYSICAL REHABILITATION, INC.
- Practice address
- 2600 East Pacific Coast Highway
Suite 240
Corona del Mar, CA 92625 - Phone
- (949) 760-9545
- Fax
- (714) 968-4220
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Dorothy Irene Lucchesi
- Title
- Vice President
- Phone
- (949) 760-9545
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ergonomics Physical Therapist | 2251E1200X | CA | ||
| Hand Physical Therapist | 2251H1200X | CA | ||
| Sports Physical Therapist | 2251S0007X | CA | ||
| Orthopedic Physical Therapist | 2251X0800X | CA | Primary |
Addresses
Primary practice location
2600 East Pacific Coast Highway
Suite 240
Corona del Mar, CA 92625
Mailing address
301 Vista Suerte
Newport Beach, CA 92660-3516
Phone (949) 760-9545
National Provider Directory
National Provider DirectoryLocations
3931 Birch St
Ste 2
Newport Beach, CA 92660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1073633384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 VISTA SUERTE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603516",
"telephone_number": "949-760-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 EAST PACIFIC COAST HIGHWAY",
"address_2": "SUITE 240",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "92625",
"telephone_number": "949-760-9545",
"fax_number": "714-968-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTBLUFF PHYSICAL REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LUCCHESI",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "949-760-9545",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "2251E1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Ergonomics",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Hand",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.