Water and Sports Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WATER AND SPORTS PHYSICAL THERAPY, INC

Practice address

3639 Midway Dr
Suite B286
San Diego, CA 92110-5254

Phone

(858) 726-2624

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Kahl Goldfarb

Title

Ceo

Phone

(858) 726-2624

Specialties & licenses 1

Addresses

Tax ID family

Water and Sports Physical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Water and Sports Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1588085625
  NPD tax ID

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1245648609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 MIDWAY DR",
            "address_2": "SUITE B286",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 MIDWAY DR",
            "address_2": "SUITE B286",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105254",
            "telephone_number": "858-726-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER AND SPORTS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "KAHL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-726-2624"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Wastila, M.D.
• Angela Wastrack, LCSW
• Nami Watanabe, DNP, MPH, FNP-BC
• Noriko Watanabe, PSYD
• Water and Sports Physical Therapy
• Water and Sports Physical Therapy, Inc
• Meghan Frances Waterhouse
• Angelina Jeanait Waterman, M.A., BCBA
• Nicholas Scott Waterman
• Ruth S. Waterman, MD

• 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 Jul 30, 2014; 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.