Independence Physical Therapy

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PT24421 Issued in CA

Legal business name

INDEPENDENCE PHYSICAL THERAPY

Practice address

24572 Mosquero LN
Mission Viejo, CA 92691-4911

Phone

(949) 350-0322

Fax

(949) 597-0758

NPI assigned

Aug 3, 2010

Last updated

Aug 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Patrick Brackett, P.T.NPI 1225220692

Title

Owner/President

Phone

(949) 350-0322

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Patrick Brackett, P.T.

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1225220692
  NPD Authorized official
• Deborah Lynn Brackett, PT

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1821325622
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1184938078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24572 MOSQUERO LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914911",
            "telephone_number": "949-350-0322",
            "fax_number": "949-597-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24572 MOSQUERO LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914911",
            "telephone_number": "949-350-0322",
            "fax_number": "949-597-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-350-0322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "PT24421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Identicorp (Molter Counseling)
• Melanie Ikhtiari, FNP-C
• In Essence Day Spa, LLC
• Incontinence and Pelvic Support Institute
• Independence Health PC
• Infinity Home Care
• Sueann Ingersoll, PNP, RN, IBCLC
• Innervisions Therapeutic Solutions, Inc
• Integrated Dermatology of Mission Viejo, Apmc
• Integrative Psychiatry & Wellness Professional Nursing Corporation (Integrative Psychiatry & Wellness)

• Home Health Agency in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.