Organization Active NPI

Sunlife Physical Therapy and Rehabilitation Services Inc

  • Physical Medicine & Rehabilitation Physician
  • National City, CA
National Provider Identifier
1164686507
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT17521 Issued in CA
Legal business name
SUNLIFE PHYSICAL THERAPY AND REHABILITATION SERVICES INC
Practice address
550 E 8TH St Ste 14
National City, CA 91950-2355
Phone
(619) 474-3294
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Edna Mae C Bay, RPT
Title
Owner
Phone
(619) 474-3294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X PT17521 CA Primary

Addresses

Primary practice location

550 E 8TH St Ste 14
National City, CA 91950-2355

Mailing address

550 E 8TH St Ste 14
National City, CA 91950-2355
Phone (619) 474-3294

National Provider Directory

National Provider Directory

Locations

550 E 8th St
Ste 14
National City, CA 91950
Phone (619) 474-3294

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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1164686507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 8TH ST STE 14",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502355",
            "telephone_number": "619-474-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 8TH ST STE 14",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502355",
            "telephone_number": "619-474-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIFE PHYSICAL THERAPY AND REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "EDNA MAE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-474-3294",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT17521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.