Physical Therapy Orange County, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY ORANGE COUNTY, INC.

Practice address

74 Icon
Lake Forest, CA 92610-3000

Phone

(949) 238-8069

NPI assigned

Aug 2, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noel Santayana, PT DPT

Title

Ceo

Phone

(909) 238-8069

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1104590389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ICON",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926103000",
            "telephone_number": "949-238-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ICON",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926103000",
            "telephone_number": "949-238-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "SANTAYANA",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-238-8069",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Jayne Perez
• Jarrett Perkins
• Shakiba Peyrovi, FNP-C
• Giathu Pham
• Phoenix Healing Arts
• Pioneer Orthotics and Prosthetics
• Isabella Pizzirulli
• Whitney Plaster, PT
• Joan Terry Plevin, PT, DC
• Maeralyn Pogoso

• Physical Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.