Individual provider Active NPI

Nataly Taryn Pluta, PT

  • Physical Therapist
  • Solana Beach, CA
National Provider Identifier
1194748087
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15109 Issued in CA
Practice address
312 S Cedros Ave
#206
Solana Beach, CA 92075-1979
Phone
(619) 787-2729
Fax
(858) 350-1017
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15109 CA Primary

Addresses

Primary practice location

312 S Cedros Ave
#206
Solana Beach, CA 92075-1979

Mailing address

312 S Cedros Ave
206
Solana Beach, CA 92075-1979
Phone (619) 787-2729

Other names 1

  • Nataly Forry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15109CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1194748087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE",
            "address_2": "206",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751979",
            "telephone_number": "619-787-2729",
            "fax_number": "858-350-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE",
            "address_2": "#206",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751979",
            "telephone_number": "619-787-2729",
            "fax_number": "858-350-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTA",
        "first_name": "NATALY",
        "middle_name": "TARYN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALY",
            "last_name": "FORRY",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

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