Active NPI
Envision Sport Physical Therapy & Pilates
- Physical Therapy Clinic/Center
- Rancho Santa Margarita, CA
National Provider Identifier
1417355793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.