Organization Active NPI

Nubert Ealr Parica Physical Therapy Group, Inc.

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1447324439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30291 Issued in CA
Legal business name
NUBERT EALR PARICA PHYSICAL THERAPY GROUP, INC.
Practice address
137 S Knott Ave
Anaheim, CA 92804-1406
Phone
(714) 484-9000
Fax
(714) 484-9019
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jin MoonNPI 1740486356
Title
Secretary
Phone
(714) 484-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30291 CA Primary

Addresses

Primary practice location

137 S Knott Ave
Anaheim, CA 92804-1406

Mailing address

137 S Knott Ave
Anaheim, CA 92804-1406

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447324439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S KNOTT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S KNOTT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041406",
            "telephone_number": "714-484-9000",
            "fax_number": "714-484-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUBERT EALR PARICA PHYSICAL THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-484-9000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.