Park Medical Physical Therapy, Prof Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT7388 Issued in CA

Legal business name

PARK MEDICAL PHYSICAL THERAPY, PROF CORP

Practice address

4120 W Point Loma Blvd
San Diego, CA 92110-5605

Phone

(619) 297-2544

Fax

(619) 297-2752

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Linda J Christensen, PTNPI 1811034028

Title

President

Phone

(619) 297-2544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Linda Joyce Christensen, PT

  • Specialist
  • San Diego, CA
  • NPI 1811034028
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1376661579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 BACHMAN PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032028",
            "telephone_number": "619-297-2544",
            "fax_number": "619-297-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105605",
            "telephone_number": "619-297-2544",
            "fax_number": "619-297-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL PHYSICAL THERAPY, PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-297-2544",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT7388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT7388",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Medical Pharmacy
• Park Medical Pharmacy
• Park Medical Pharmacy
• Park Medical Pharmacy, Inc
• Park Medical Physical Therapy, Prof Corp
• Park Medical Supplies, Inc
• Park Optometry, Inc
• Park Row Podiatry Inc.
• Aaron Park
• Aaron Park

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.