Organization Active NPI

Santa Barbara Comprehensive Outpatient Rehabilitation Facility

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1316073653
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5066 Issued in CA
Legal business name
SANTA BARBARA COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY
Practice address
2320 Calle Real
Santa Barbara, CA 93105-4231
Phone
(805) 687-8553
Fax
(805) 687-5325
NPI assigned
Feb 23, 2007
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Rachel L Mari
Title
Office Manager
Phone
(805) 687-8553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5066 CA Primary

Addresses

Primary practice location

2320 Calle Real
Santa Barbara, CA 93105-4231

Mailing address

2320 Calle Real
Santa Barbara, CA 93105-4231
Phone (805) 687-8553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230216002787 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739165614 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

2320 Calle Real
Santa Barbara, CA 93105
Phone (805) 687-8553

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1316073653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054231",
            "telephone_number": "805-687-8553",
            "fax_number": "805-687-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054231",
            "telephone_number": "805-687-8553",
            "fax_number": "805-687-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MARI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-687-8553"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.