Sunnyside Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33814 Issued in CA

Legal business name

SUNNYSIDE REHAB INC

Practice address

10671 Roselle St
Suite 100
San Diego, CA 92121-1525

Phone

(858) 412-4787

Fax

(858) 412-4084

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Miss Lude Regine Ricard, PTNPI 1225249246

Title

President

Phone

(858) 412-4787

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lude Regine Ricard, PT

  • Physical Therapist
  • San Diego, CA
  • NPI 1225249246
  NPD (past) Authorized official

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1194073148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10671 ROSELLE ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211525",
            "telephone_number": "858-412-4787",
            "fax_number": "858-412-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10671 ROSELLE ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211525",
            "telephone_number": "858-412-4787",
            "fax_number": "858-412-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "RICARD",
        "authorized_official_first_name": "LUDE",
        "authorized_official_middle_name": "REGINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-412-4787",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Days Early Childhood Developmental Services of Ca, LLC
• Sunny Days Medical Transport
• Sunny Days of California
• Sunny San Diego Internal Med Ins
• Sunnyside Rehab Inc
• Carolina Meyerlin Suno
• Sunrise Medical Transit LLC
• Sunset Bme Supplies, Inc.
• Sunset Coast 3 Corp
• Sunset Coast Assisted Living 5

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.