Organization Active NPI

Biodynamics Physical Therapy

  • Orthopedic Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1184632374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
BIODYNAMICS PHYSICAL THERAPY
Practice address
11100 Warner Center Drive
Suite 218
Fountain Valley, CA 92708-7506
Phone
(714) 424-0290
Fax
(714) 424-0278
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Alexa Crosby, PT
Title
Owner
Phone
(714) 424-0290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

11100 Warner Center Drive
Suite 218
Fountain Valley, CA 92708-7506

Mailing address

11100 Warner Center Drive
Suite 218
Fountain Valley, CA 92708-7506
Phone (714) 424-0290

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184632374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER CENTER DRIVE",
            "address_2": "SUITE 218",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-424-0290",
            "fax_number": "714-424-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER CENTER DRIVE",
            "address_2": "SUITE 218",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-424-0290",
            "fax_number": "714-424-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIODYNAMICS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-424-0290",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.