Organization Active NPI

Clear Passage Therapies Orange County, Inc.

  • Physical Therapy Clinic/Center
  • Irvine, CA
National Provider Identifier
1114101243
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.