West Coast Spine and Sports Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WEST COAST SPINE AND SPORTS THERAPY

Practice address

6370 Magnolia Ave
Suite L140
Riverside, CA 92506-2405

Phone

(951) 774-0793

Fax

(951) 774-0783

NPI assigned

Jul 19, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kay Manson

Title

Contracting

Phone

(951) 653-4480

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1447450333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 MAGNOLIA AVE",
            "address_2": "SUITE L140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062405",
            "telephone_number": "951-774-0793",
            "fax_number": "951-774-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 MAGNOLIA AVE",
            "address_2": "SUITE L140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062405",
            "telephone_number": "951-774-0793",
            "fax_number": "951-774-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST SPINE AND SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MANSON",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "CONTRACTING",
        "authorized_official_telephone_number": "951-653-4480"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Werner
• Katherine Marie Werner
• West Coast ABA
• West Coast ABA
• West Coast DME & Supplies LLC (OrthoKinetix)
• West Coast Spine and Sports Therapy Center
• West Coast Spine Restoration Center, Inc
• Gerald I. West Jr., MD
• Chila West
• James West, MD

• Physical Therapy Clinic/Center in Riverside, CA
• Providers in Riverside, 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 Jun 21, 2018; 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.