Individual provider Active NPI

Teresa Molina Barbanell, P.T.

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1356594113
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8613 Issued in CA
Practice address
647 Camino de Los Mares
San Clemente, CA 92673-2825
Phone
(949) 240-0600
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT8613 CA Primary

Addresses

Primary practice location

647 Camino de Los Mares
San Clemente, CA 92673-2825

Mailing address

647 Camino de Los Mares
San Clemente, CA 92673-2825
Phone (949) 240-0600

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

LicenseStateTypeSpecialty
PT8613CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catch a Wave Physical Therapy Physical Therapist PastSince Jan 2, 2018 Accepting new patients
San Clemente Physical Therapy Inc Physical Therapist PastSince Mar 14, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1356594113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732825",
            "telephone_number": "949-240-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732825",
            "telephone_number": "949-240-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBANELL",
        "first_name": "TERESA",
        "middle_name": "MOLINA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.