Organization Active NPI

Envision Sport Physical Therapy & Pilates

  • Physical Therapy Clinic/Center
  • Rancho Santa Margarita, CA
National Provider Identifier
1417355793
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENVISION SPORT PHYSICAL THERAPY & PILATES
Practice address
23121 Antonio Pkwy
Suite 100
Rancho Santa Margarita, CA 92688-2658
Phone
(949) 713-6445
Fax
(949) 713-6488
NPI assigned
Dec 18, 2014
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Darrin Yee
Title
Secretary
Phone
(949) 713-6445

Specialties & licenses 1

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

Addresses

Primary practice location

23121 Antonio Pkwy
Suite 100
Rancho Santa Margarita, CA 92688-2658

Mailing address

23121 Antonio Pkwy
Suite 100
Rancho Santa Margarita, CA 92688-2658
Phone (949) 713-6445

National Provider Directory

National Provider Directory

Locations

23121 Antonio Pkwy
Ste 100
Rcho Sta Marg, CA 92688
Phone (949) 713-6445

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1417355793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23121 ANTONIO PKWY",
            "address_2": "SUITE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882658",
            "telephone_number": "949-713-6445",
            "fax_number": "949-713-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23121 ANTONIO PKWY",
            "address_2": "SUITE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882658",
            "telephone_number": "949-713-6445",
            "fax_number": "949-713-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION SPORT PHYSICAL THERAPY & PILATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-713-6445"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.