Homestretch P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT26517 Issued in CA

Legal business name

HOMESTRETCH P.T.

Practice address

27525 Puerta Real
Ste 100-224
Mission Viejo, CA 92691-6379

Phone

(949) 338-0427

Fax

(949) 454-0031

NPI assigned

Feb 27, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Shannon Gomez

Title

Owner

Phone

(949) 338-0427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298764800000",
    "number": "1174820146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27525 PUERTA REAL",
            "address_2": "STE 100-224",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916379",
            "telephone_number": "949-338-0427",
            "fax_number": "949-454-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27525 PUERTA REAL",
            "address_2": "STE 100-224",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916379",
            "telephone_number": "949-338-0427",
            "fax_number": "949-454-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTRETCH P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-338-0427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.