Organization Active NPI

GMPT

  • Physical Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1194102004
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29580 Issued in CA
Legal business name
GMPT
Practice address
32302 Camino Capistrano
Suite 107
San Juan Capistrano, CA 92675-4501
Phone
(949) 276-8845
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Kim DO
Title
Authorized Official
Phone
(714) 283-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT29580 CA Primary

Addresses

Primary practice location

32302 Camino Capistrano
Suite 107
San Juan Capistrano, CA 92675-4501

Mailing address

32302 Camino Capistrano
Suite 107
San Juan Capistrano, CA 92675-4501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1194102004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32302 CAMINO CAPISTRANO",
            "address_2": "SUITE 107",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32302 CAMINO CAPISTRANO",
            "address_2": "SUITE 107",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754501",
            "telephone_number": "949-276-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "714-283-3242"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.