Pediatric Therapy Services of Orange County, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT1222 Issued in CA

Legal business name

PEDIATRIC THERAPY SERVICES OF ORANGE COUNTY, INC.

Practice address

1525 Mesa Verde Dr E
Suite #120
Costa Mesa, CA 92626-5218

Phone

(714) 427-0615

Fax

(714) 427-0617

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Jo Grady, PT, MS, PCS

Title

Physical Therapist/Owner

Phone

(714) 427-0615

Specialties & licenses 1

Addresses

Other names 1

• Sharon Grady PT, MS, PCS Other name

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073695979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E",
            "address_2": "SUITE #120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265218",
            "telephone_number": "714-427-0615",
            "fax_number": "714-427-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E",
            "address_2": "SUITE #120",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265218",
            "telephone_number": "714-427-0615",
            "fax_number": "714-427-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "714-427-0615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MS, PCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Grady PT, MS, PCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Anderson Peck
• Kelly Peck
• Nicole Peckham
• Divya Reddy Peddireddy, D.D.S
• Hayley Pedersen
• Jada Docuyanan Pedron
• Kristin Brett Pelinka, MD
• Brittnie Pemberton
• Dennise Esmeralda Pena Garcia
• Cynthia Pena

• Specialist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.