Active NPI
Aaron Tucker
- Physical Therapist
- Mission Viejo, CA
National Provider Identifier
1346662723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 40927
- Practice address
- 26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691-5313 - Phone
- (949) 206-1700
- Fax
- (949) 206-1800
- NPI assigned
- Jan 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 40927 | CA | Primary |
Addresses
Primary practice location
26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691-5313
Mailing address
200 Newport Center Dr
#213
Newport Beach, CA 92660-7501
Phone (949) 644-1322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 40927 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1346662723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWPORT CENTER DR",
"address_2": "#213",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607501",
"telephone_number": "949-644-1322",
"fax_number": "949-644-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD",
"address_2": "STE 105",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915313",
"telephone_number": "949-206-1700",
"fax_number": "949-206-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-20",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 40927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.