Organization Active NPI

MVP Sports Technologies

  • Physical Therapy Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1083929111
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
30062 Issued in CA
Legal business name
MVP SPORTS TECHNOLOGIES
Practice address
23602 Via Fabricante
Mission Viejo, CA 92691-3143
Phone
(949) 215-8941
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Lee Cusi
Title
Cfo
Phone
(949) 215-8941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 30062 CA Primary

Addresses

Primary practice location

23602 Via Fabricante
Mission Viejo, CA 92691-3143

Mailing address

23602 Via Fabricante
Mission Viejo, CA 92691-3143
Phone (949) 215-8941

National Provider Directory

National Provider Directory

Locations

23602 Via Fabricante
Mission Viejo, CA 92691
Phone (949) 215-8941

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1083929111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23602 VIA FABRICANTE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913143",
            "telephone_number": "949-215-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23602 VIA FABRICANTE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913143",
            "telephone_number": "949-215-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP SPORTS TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "CUSI",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-215-8941"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "30062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.