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

Last updated

Feb 22, 2008By the provider in NPPES

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

Practitioners 1

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.

• 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": [],
    "endpoints": [],
    "other_names": []
}

• Park Medical Pharmacy (Medical Center Pharmacy)
• Park Medical Pharmacy (Medical Center Pharmacy)
• Park Medical Pharmacy (Medical Center Pharmacy)
• Park Medical Pharmacy, Inc (Medical Center Pharmacy)
• Park Medical Physical Therapy, Prof Corp
• Park Medical Supplies, Inc
• Park Optometry, Inc
• Park Row Podiatry Inc. (Nicholas N. DeSantis DPM)
• 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.