NPIMap

Organization Active NPI

Specialized Physical Therapy, Apc

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1346272093
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPECIALIZED PHYSICAL THERAPY, APC
Practice address
250 El Camino Real
Suite 100
Tustin, CA 92780-3655
Phone
(714) 838-6999
Fax
(714) 838-7099
NPI assigned
Jul 6, 2006
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Mr. Steven Paul Ferdig, DPT, OCSNPI 1245258359
Title
Owner/Physical Therapist
Phone
(714) 838-6999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

250 El Camino Real
Suite 100
Tustin, CA 92780-3655

Mailing address

250 El Camino Real
Suite 100
Tustin, CA 92780-3655
Phone (714) 838-6999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1346272093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655",
            "telephone_number": "714-838-6999",
            "fax_number": "714-838-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655",
            "telephone_number": "714-838-6999",
            "fax_number": "714-838-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHYSICAL THERAPY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "FERDIG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-838-6999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.