Developmental Physical Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

DEVELOPMENTAL PHYSICAL THERAPY

Practice address

101 S Kraemer Blvd Ste 125
Placentia, CA 92870-6100

Phone

(714) 624-2315

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly Clark, PT

Title

MPT/Owner

Phone

(714) 624-2315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1295383941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 125",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706100",
            "telephone_number": "714-624-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 125",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706100",
            "telephone_number": "714-624-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MPT/OWNER",
        "authorized_official_telephone_number": "714-624-2315",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Martin Delgado
• Sloan Ann Dempster, AMFT
• Catherine Deng
• Kiora Ann Denkinger
• Deric Lords D P M a Professional Corporation
• Amar Dholakia
• Diagnostic Medical Solutions
• Beverly Ann Diamond, SLP
• Kathy Lizette Diaz
• Dignita Hospice, Inc.

• Pediatric Physical Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.