Pediatric Therapy of Santa Clarita

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT21192 Issued in CA

Legal business name

PEDIATRIC THERAPY OF SANTA CLARITA

Practice address

26639 Valley Center Dr
Suite 101
Santa Clarita, CA 91351-2357

Phone

(661) 254-1842

Fax

(661) 254-1862

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Lizabeth Jean Bunkell

Title

Program Director Owner

Phone

(661) 254-1842

Specialties & licenses 12

Addresses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1295882884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "address_2": "SUITE 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-254-1842",
            "fax_number": "661-254-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "address_2": "SUITE 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-254-1842",
            "fax_number": "661-254-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY OF SANTA CLARITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "BUNKELL",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR OWNER",
        "authorized_official_telephone_number": "661-254-1842"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT21490",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT21192",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 1285",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OTR 323",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OTR5929",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OTR 2463",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP8235",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP40",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP11852",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP6937",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP4138",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nya Pavon
• Kyle Anthony Payne
• PC Medical Clinic Inc
• Slade Pearce
• Nasim Pedarsani, OD
• Pediatric Therapy of Santa Clarita
• Pedram Ghasri MD a Professional Corporation
• Pedram N Soleimani DDS Inc.
• Ashley Nicole Pedraza
• Jessica Peeples, CCC-SLP

• Pediatric Physical Therapist in Santa Clarita, CA
• Providers in Santa Clarita, 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 Nov 21, 2008; 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.