Organization Active NPI

Pritzl Physical Therapy and Sports Rehab

  • Physical Therapy Clinic/Center
  • San Juan Capistrano, CA
National Provider Identifier
1366510653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 12777 Issued in CA
Legal business name
PRITZL PHYSICAL THERAPY AND SPORTS REHAB
Practice address
31952 Del Obispo St
Suite 200
San Juan Capistrano, CA 92675-3124
Phone
(949) 240-1016
Fax
(949) 240-4450
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick John Pritzl, PTNPI 1215953260
Title
Owner
Phone
(949) 240-1016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 12777 CA Primary

Addresses

Primary practice location

31952 Del Obispo St
Suite 200
San Juan Capistrano, CA 92675-3124

Mailing address

31952 Del Obispo St
Suite 200
San Juan Capistrano, CA 92675-3124
Phone (949) 240-1016

National Provider Directory

National Provider Directory

Locations

31952 Del Obispo St
Ste 200
San Juan Capo, CA 92675
Phone (949) 210-1016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366510653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31952 DEL OBISPO ST",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753124",
            "telephone_number": "949-240-1016",
            "fax_number": "949-240-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31952 DEL OBISPO ST",
            "address_2": "SUITE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753124",
            "telephone_number": "949-240-1016",
            "fax_number": "949-240-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITZL PHYSICAL THERAPY AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRITZL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-240-1016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 12777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • 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.