Center for Optimal Movement

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25475 Issued in CA

Legal business name

CENTER FOR OPTIMAL MOVEMENT

Practice address

6125 Paseo del Norte Ste 100
Carlsbad, CA 92011-1113

Phone

(760) 909-2355

Fax

(760) 448-5363

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Neil McKenna, DPT

Title

President

Phone

(760) 909-2355

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255850293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111113",
            "telephone_number": "760-909-2355",
            "fax_number": "760-448-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111113",
            "telephone_number": "760-909-2355",
            "fax_number": "760-448-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OPTIMAL MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-909-2355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25475",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "25475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Carlsbad, CA
• Providers in Carlsbad, 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 21, 2022; 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.