New Phyzio Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

13757 Issued in CA

Legal business name

NEW PHYZIO PHYSICAL THERAPY, PC

Doing business as

Alternative Physical Therapy

Practice address

10801 Thornmint Rd Ste 250
San Diego, CA 92127-2421

Phone

(858) 254-8684

Fax

(858) 408-2613

NPI assigned

Apr 16, 2018

Organization subpart

Yes

Parent organization

NEW PHYZIO PHYSICAL THERAPY, PCAs reported in NPPES

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

Authorized official

Name

Jera Ratliff, PT, DPT, CFMT

Title

Owner/Ceo

Phone

(858) 254-8684

Specialties & licenses 1

Addresses

Other names 1

• Alternative Physical Therapy Doing business as

Part of

New Phyzio Physical Therapy PC

Locations

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1215424213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 THORNMINT RD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272421",
            "telephone_number": "858-254-8684",
            "fax_number": "858-408-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 THORNMINT RD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272421",
            "telephone_number": "858-254-8684",
            "fax_number": "858-408-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHYZIO PHYSICAL THERAPY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW PHYZIO PHYSICAL THERAPY, PC",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "JERA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "858-254-8684",
        "authorized_official_credential": "PT, DPT, CFMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "13757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.