Ideal Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IDEAL THERAPY, INC

Practice address

2617 E Chapman Ave Ste 105
Orange, CA 92869-3255

Phone

(714) 832-2273

Fax

(714) 832-2272

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joseph John Pacelli, DCNPI 1891701413

Title

President

Phone

(714) 832-2273

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Pacelli, D.C.

  • Chiropractor
  • Tustin, CA
  • NPI 1891701413
  Medicare reassignment Care Compare group NPD Authorized official
• John Djerbaka, P.T.

  • Physical Therapist
  • Tustin, CA
  • NPI 1003156126
  Medicare reassignment Care Compare group NPD
• Jonathan Mackin

  • Physical Therapist
  • Covina, CA
  • NPI 1356146278
  Medicare reassignment NPD

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1255811543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693255",
            "telephone_number": "714-832-2273",
            "fax_number": "714-832-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693255",
            "telephone_number": "714-832-2273",
            "fax_number": "714-832-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "PACELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-832-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ibrahim
• Khiber Ibrahimkhil, BT
• Ic Oriental Clinic
• Iceberg Medical Supply LLC
• Hirohito Ichii, MD, PHD
• Miranda G Ideal, CRNA
• Shaheen I Idries, MD
• Mari Ieyoshi, BCABA
• Natalie Ifkovits
• Russell Chan Igarashi, DO

• Physical Therapy Clinic/Center in Orange, CA
• Providers in Orange, 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 Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.