NPIMap

Organization Active NPI

Ladera Ranch Physical Therapy

  • Physical Therapist
  • Ladera Ranch, CA
National Provider Identifier
1255654398
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LADERA RANCH PHYSICAL THERAPY
Practice address
777 Corporate Dr
Suite 160
Ladera Ranch, CA 92694-2135
Phone
(949) 472-2242
Fax
(949) 472-4501
NPI assigned
Mar 3, 2010
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Mrs. Karen Herz
Title
Practice Manager
Phone
(949) 754-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

777 Corporate Dr
Suite 160
Ladera Ranch, CA 92694-2135

Mailing address

777 Corporate Dr
Suite 160
Ladera Ranch, CA 92694-2135
Phone (949) 472-2242

National Provider Directory

National Provider Directory
Tax ID family
Ladera Ranch Physical Therapy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1255654398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 160",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-472-2242",
            "fax_number": "949-472-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "SUITE 160",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942135",
            "telephone_number": "949-472-2242",
            "fax_number": "949-472-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA RANCH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "HERZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "949-754-1344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.