Active NPI
Nataly Taryn Pluta, PT
- Physical Therapist
- Solana Beach, CA
National Provider Identifier
1194748087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15109 | CA | MD | Professional 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.