Project B Physical Therapy and Performance Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROJECT B PHYSICAL THERAPY AND PERFORMANCE INC.

Practice address

608 Via Armado
Chula Vista, CA 91910-7918

Phone

(619) 764-9588

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Ian David Bautista, PT, DPTNPI 1740746221

Title

Physical Therapist

Phone

(619) 764-9588

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Ian David Bautista

  • Physical Therapist
  • National City, CA
  • NPI 1740746221
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1285372524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 VIA ARMADO",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 VIA ARMADO",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107918",
            "telephone_number": "619-764-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT B PHYSICAL THERAPY AND PERFORMANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JOSEPH IAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "619-764-9588",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deneitris Pringle
• Sandra A Printup
• Prisma Care, a Medical Corporation
• Carli Irene Proctor, LMFT
• Linda Proctor, LCSW
• Project Physical Therapy
• Kyle Prost
• Shanekwa Marie Pruitt, LMFT
• Alayna Puccinelli, DPM
• Alicia Puentes

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.