Monterey Bay Pacific Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MONTEREY BAY PACIFIC PHYSICAL THERAPY INC.

Practice address

929 Pacific St
Monterey, CA 93940-4447

Phone

(831) 373-1209

Fax

(831) 373-7102

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mark A Young, P.T.

Title

President

Phone

(831) 373-1209

Specialties & licenses 1

Addresses

Other names 1

• Pacific Physical Therapy Inc. Doing business as

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316071673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 PACIFIC ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404447",
            "telephone_number": "831-373-1209",
            "fax_number": "831-373-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 PACIFIC ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404447",
            "telephone_number": "831-373-1209",
            "fax_number": "831-373-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY BAY PACIFIC PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-373-1209",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Physical Therapy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.