Active NPI
Clear Passage Therapies Orange County, Inc.
- Physical Therapy Clinic/Center
- Irvine, CA
National Provider Identifier
1114101243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CLEAR PASSAGE THERAPIES ORANGE COUNTY, INC.
- Practice address
- 18271 McDurmott Street
Ste J
Irvine, CA 92614 - Phone
- (866) 222-9437
- NPI assigned
- Dec 26, 2007
- Organization subpart
- Yes
- Parent organization
- CLEAR PASSAGE THERAPIES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Wagner
- Title
- Corporate Administrator
- Phone
- (352) 336-1433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
18271 McDurmott Street
Ste J
Irvine, CA 92614
Mailing address
3600 NW 43Rd St Ste A1
Gainesville, FL 32606-8138
National Provider Directory
National Provider Directory- Part of
- Clear Passage Therapies Inc
Locations
3600 NW 43rd St
Ste A1
Gainesville, FL 32606
Phone (352) 336-1433
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Costa Mesa, CA
- NPI 1881890887
-
- Physical Therapist
- Gainesville, FL
- NPI 1588877005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198627200000",
"number": "1114101243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW 43RD ST STE A1",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18271 MCDURMOTT STREET",
"address_2": "STE J",
"city": "IRVINE",
"state": "CA",
"postal_code": "92614",
"telephone_number": "866-222-9437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR PASSAGE THERAPIES ORANGE COUNTY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLEAR PASSAGE THERAPIES, INC.",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
"authorized_official_telephone_number": "352-336-1433"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.