NPIMap

Organization Active NPI

Pura Vida Fit Physical Therapy Incorporated

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1437396793
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
21676 Issued in CA
Legal business name
PURA VIDA FIT PHYSICAL THERAPY INCORPORATED
Doing business as
Pura Vida Fit
Practice address
2251 Worden St
Unit 9
San Diego, CA 92107-1626
Phone
(619) 518-6301
Fax
(866) 860-3154
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Mary L. Maine, DPT
Title
Doctor of Physical Therapy
Phone
(619) 518-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 21676 CA Primary

Addresses

Primary practice location

2251 Worden St
Unit 9
San Diego, CA 92107-1626

Mailing address

2251 Worden St
Unit 9
San Diego, CA 92107-1626
Phone (619) 518-6301

Other names 1

  • Pura Vida Fit Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1437396793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 WORDEN ST",
            "address_2": "UNIT 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071626",
            "telephone_number": "619-518-6301",
            "fax_number": "866-860-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 WORDEN ST",
            "address_2": "UNIT 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071626",
            "telephone_number": "619-518-6301",
            "fax_number": "866-860-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA FIT PHYSICAL THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "MAINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "619-518-6301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "21676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pura Vida Fit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.