Outcomes Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT28665 Issued in CA

Legal business name

OUTCOMES PHYSICAL THERAPY, INC.

Practice address

760 Washburn Ave
Ste 2
Corona, CA 92882-3303

Phone

(951) 371-1233

Fax

(951) 371-1273

NPI assigned

Dec 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Basa, P.T.NPI 1972671360

Title

Ceo

Phone

(760) 687-3541

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Alexander Basa, P.T.

  • Physical Therapist
  • Oceanside, CA
  • NPI 1972671360
  NPD (past) Authorized official
• Pamela F Basa, P.T.

  • Physical Therapist
  • Oceanside, CA
  • NPI 1164619334
  NPD (past)

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242518400000",
    "number": "1164668141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 WILLOW WALK RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920571925",
            "telephone_number": "760-687-3541",
            "fax_number": "760-529-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE",
            "address_2": "STE 2",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-371-1233",
            "fax_number": "951-371-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTCOMES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2009-05-17",
        "status": "A",
        "authorized_official_last_name": "BASA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-687-3541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT28665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1972671360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breshiuna Ott
• Chika Ou
• Ting-Wei Ou, MD
• Randy Kevin Ouellette
• Samantha Ouk
• Amanda Overbay
• Chirley Oviedo
• Alyonka Owen, LMFT
• Roberta Owens
• Faro Owiesy, M.D

• Physical Therapy Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; 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.