Organization Active NPI

Nakoa Fitness and Physical Therapy LLC

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1114216975
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NAKOA FITNESS AND PHYSICAL THERAPY LLC
Practice address
6068 Corte del Cedro
Carlsbad, CA 92011-1514
Phone
(760) 804-1700
Fax
(760) 807-1780
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Allison Chico Nelson, DPT
Title
Practice Director
Phone
(760) 804-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

6068 Corte del Cedro
Carlsbad, CA 92011-1514

Mailing address

6068 Corte del Cedro
Carlsbad, CA 92011-1514
Phone (760) 804-1700

Other names 3

  • NAKOA FItness and Physical Therapy, LLC Doing business as
  • NAKOA Fitness and Physical Therapy Doing business as
  • EZIA Physical Therapy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5850 El Camino Real
#100
Carlsbad, CA 92008
Phone (760) 804-1700

2052 Corte del Nogal
#160
Carlsbad, CA 92011
Phone (760) 804-1700

6068 Corte del Cedro
Carlsbad, CA 92011
Phone (619) 333-6949

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": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1114216975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 CORTE DEL CEDRO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111514",
            "telephone_number": "760-804-1700",
            "fax_number": "760-807-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 CORTE DEL CEDRO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111514",
            "telephone_number": "760-804-1700",
            "fax_number": "760-807-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAKOA FITNESS AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "CHICO",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "760-804-1700",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAKOA FItness and Physical Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NAKOA Fitness and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZIA Physical Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.