NPIMap

Organization Active NPI

Nadine Cerqua

Doing business as Active Solutions Physical Therapy

  • Physical Therapist
  • Vista, CA
National Provider Identifier
1164845723
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23729 Issued in CA
Legal business name
NADINE CERQUA
Doing business as
Active Solutions Physical Therapy
Practice address
1976 Hacienda Dr
Vista, CA 92081-6025
Phone
(760) 758-4770
Fax
(760) 758-3274
NPI assigned
Jan 31, 2014
Last updated
Jan 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Ms. Nadine Cerqua, DPT
Title
Owner
Phone
(760) 758-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23729 CA Primary

Addresses

Primary practice location

1976 Hacienda Dr
Vista, CA 92081-6025

Mailing address

1976 Hacienda Dr
Vista, CA 92081-6025

Other names 1

  • Active Solutions Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1164845723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816025",
            "telephone_number": "760-758-4770",
            "fax_number": "760-758-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADINE CERQUA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "CERQUA",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-758-4770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Solutions Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.