Waterfront Fitness & Nutrition

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WATERFRONT FITNESS & NUTRITION

Doing business as

Pro PT

Practice address

27725 Santa Margarita Pkwy Ste 210
Mission Viejo, CA 92691-6710

Phone

(949) 598-9315

Fax

(949) 598-9439

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Santos, P.T.NPI 1457316267

Title

Physical Therapist/Owner

Phone

(949) 598-9315

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pro PT Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• John William Santos, P.T.

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1457316267
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1285804740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916710",
            "telephone_number": "949-598-9315",
            "fax_number": "949-598-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916710",
            "telephone_number": "949-598-9315",
            "fax_number": "949-598-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT FITNESS & NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "949-598-9315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W15346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loraine L. Walsh, PH.D
• William Wang, M.D.
• Gail G Warner, MARRIAGE FAMILY THER
• Warren J Reuland MD PC
• Neal Washburn, DO
• Veronica Waters, M.S., LMFT
• Virginia Leigh Watford, PHD
• Mark Elliot Watters, DC
• Jacqlyn Quintina Wax, PSY.D
• Edgar Morris Wayne II, M.D.

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, 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 24, 2012; 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.