The Injury Recovery Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12770 Issued in CA

Legal business name

THE INJURY RECOVERY CENTER INC.

Practice address

17352 Vinewood Ave
Tustin, CA 92780-2551

Phone

(714) 785-6573

Fax

(714) 730-0369

NPI assigned

Nov 18, 2006

Organization subpart

No

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

Authorized official

Name

Michael Koerner, P.T.NPI 1689747636

Title

President

Phone

(714) 785-6573

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jon Koerner, P.T.

  • Physical Therapist
  • Tustin, CA
  • NPI 1689747636
  Medicare reassignment Care Compare group NPD Authorized official
• Patricia Ann Koerner, O.T.

  • Neurorehabilitation Occupational Therapist
  • Tustin, CA
  • NPI 1578636445
  Medicare reassignment Care Compare group
• Paul E Kender, PT

  • Physical Therapist
  • San Pedro, CA
  • NPI 1366536898
  NPD (past)

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1093889438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17352 VINEWOOD AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802551",
            "telephone_number": "714-785-6573",
            "fax_number": "714-730-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17352 VINEWOOD AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802551",
            "telephone_number": "714-785-6573",
            "fax_number": "714-730-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INJURY RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-785-6573",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 12770",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 650",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 650  1011100308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rinkal Bharatkumar Thakkar, DENTIST
• Kenneth S Thaler, MD
• The Acuspot Inc.
• The Center for Psychological and Psychedelic Fami
• The Fight Docs, Inc.
• The Malama Collective
• The Multicultural Therapy Center
• The Multicultural Therapy Internship and Training Center, Inc.
• The Net Family Support
• The Purpose of Recovery Inc.

• Physical Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.