NPIMap

Organization Active NPI

CV Physical Therapy Inc

Doing business as Score Physical Therapy

  • Physical Therapist
  • Capitola, CA
National Provider Identifier
1104262351
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CV PHYSICAL THERAPY INC
Doing business as
Score Physical Therapy
Practice address
1350 41St Ave Ste 100
Capitola, CA 95010-3934
Phone
(831) 706-2085
Fax
(831) 417-3799
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Kelly Sander, PT
Title
President
Phone
(805) 788-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1350 41St Ave Ste 100
Capitola, CA 95010-3934

Mailing address

1106 Walnut St
Suite 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Other names 1

  • Score Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CV Physical Therapy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1104262351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 41ST AVE STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103934",
            "telephone_number": "831-706-2085",
            "fax_number": "831-417-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CV PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-788-0805",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Score Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.