Prevention Wellness and Restorative Solutions Physical Therapy Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

25518 Issued in CA

Legal business name

PREVENTION WELLNESS AND RESTORATIVE SOLUTIONS PHYSICAL THERAPY CORP

Practice address

7290 Navajo Rd
Suite 111
San Diego, CA 92119-1629

Phone

(858) 342-9538

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Lynn Daniel, PT, DPT, OCSNPI 1013993211

Title

Physical Therapist, President

Phone

(858) 342-9538

Specialties & licenses 1

Addresses

Other names 1

• Physiofixx Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Sandra Lynn Daniel, PT

  • Physical Therapist
  • San Diego, CA
  • NPI 1013993211
  Medicare reassignment NPD Authorized official
• Julie Christine Marazzo, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1366088551
  Medicare reassignment NPD

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1437502275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 STONEVIEW CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191212",
            "telephone_number": "858-342-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191629",
            "telephone_number": "858-342-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION WELLNESS AND RESTORATIVE SOLUTIONS PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, PRESIDENT",
        "authorized_official_telephone_number": "858-342-9538",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "25518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiofixx Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gert Diederick Victor Pretorius, MD
• Kelly Allison Pretorius, NP, RN
• Alexander Nicholas Prevallet, DO
• Preventative Health for Happy Families
• Preventative Health for Happy Families Counseling Co
• Preventive Women'S Health Care Medical Group, Inc
• William Joseph Previte, D.O.
• Kimberly Prevost
• Jeremy Kyle Prewett
• Lauren Annette Prewitt, D.O.

• 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 Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.