Individual provider Active NPI

Ashley Simpson Vitarelli, DPT

  • Physical Therapist
  • Laguna Woods, CA
National Provider Identifier
1437687613
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293049 Issued in CA
Practice address
24361 El Toro Rd Ste 140
Laguna Woods, CA 92637-2755
Phone
(949) 715-0500
NPI assigned
Jun 1, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293049 CA Primary

Addresses

Primary practice location

24361 El Toro Rd Ste 140
Laguna Woods, CA 92637-2755

Mailing address

200 Emerald Ave
Newport Beach, CA 92662-1007

Other practice location 1

40 Centerpointe Dr
LA Palma, CA 90623-1028
Phone (714) 522-8020

Other practice location 2

640 S Placentia Ave
Placentia, CA 92870-6300
Phone (714) 579-7772

Other names 1

  • Dr. Ashley Simpson Vitarelli Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010003718 CA Practitioner - Physical Therapist in Private Practice 8123393568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Balance Solution Institute of Physiotherapy IncGroup PAC ID 2062427305, 29 clinicians

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 111
Laguna Hills, CA 92653-1241
Phone (949) 340-6927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293049CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Balance Solution Institute of Physiotherapy Inc Physical Therapist CurrentSince Dec 15, 2020 Accepting new patients
Orange Coast Fyzical Past Accepting new patients
PNP Associates Past Accepting new patients

Locations

18 Endeavor
Ste 105
Irvine, CA 92618
Phone (949) 340-6927

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

23141 Moulton Pkwy
Ste 111
Laguna Hills, CA 92653
Phone (949) 340-6927

13001 Seal Beach Blvd
Ste 100
Seal Beach, CA 90740
Phone (310) 799-6666

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437687613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EMERALD AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 140",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372755",
            "telephone_number": "949-715-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Centerpointe Dr",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906231028",
            "country_code": "US",
            "telephone_number": "714-522-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S Placentia Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706300",
            "country_code": "US",
            "telephone_number": "714-579-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITARELLI",
        "first_name": "ASHLEY",
        "middle_name": "SIMPSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "VITARELLI",
            "middle_name": "SIMPSON",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.