Organization Active NPI

Bella and Baby Physical Therapy

  • Physical Therapist
  • Soquel, CA
National Provider Identifier
1093044547
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35747 Issued in CA
Legal business name
BELLA AND BABY PHYSICAL THERAPY
Practice address
4630 Soquel Dr
Ste 8C
Soquel, CA 95073-3100
Phone
(831) 713-7457
Fax
(831) 621-4701
NPI assigned
Dec 11, 2009
Last updated
Dec 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Adriana Patricia Mesa, PT, MSNPI 1366671653
Title
Owner/Physical Therapist
Phone
(831) 713-7457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35747 CA Primary
Pediatric Physical Therapist 2251P0200X 35747 NU

Addresses

Primary practice location

4630 Soquel Dr
Ste 8C
Soquel, CA 95073-3100

Mailing address

4630 Soquel Dr
Ste 8C
Soquel, CA 95073-3100
Phone (831) 713-7457

Other identifiers 1

IdentifierTypeStateIssuer
1366671653OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

4630 Soquel Dr
Ste 8C
Soquel, CA 95073
Phone (831) 200-4480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1093044547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 SOQUEL DR",
            "address_2": "STE 8C",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950733100",
            "telephone_number": "831-713-7457",
            "fax_number": "831-621-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 SOQUEL DR",
            "address_2": "STE 8C",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950733100",
            "telephone_number": "831-713-7457",
            "fax_number": "831-621-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA AND BABY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "831-713-7457",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35747",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": "35747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366671653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.