Power Physical Therapy and Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 23889 Issued in CA

Legal business name

POWER PHYSICAL THERAPY AND SPORTS MEDICINE

Practice address

3140 Red Hill Ave Ste 225
Costa Mesa, CA 92626-3440

Phone

(714) 222-5922

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark C Nowlin, DPTNPI 1467561654

Title

President

Phone

(714) 222-5922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Mark Nowlin, D.P.T

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1467561654
  Medicare reassignment NPD Authorized official
• Edward Cornejo, PT, MPT, CFMT

  • Orthopedic Physical Therapist
  • Newport Beach, CA
  • NPI 1245470319
  Medicare reassignment NPD
• Preston Ray Angstrom

  • Physical Therapy Assistant
  • Costa Mesa, CA
  • NPI 1053000224
  NPD

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1447544499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD # 339",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 RED HILL AVE STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263440",
            "telephone_number": "714-222-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER PHYSICAL THERAPY AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-222-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 23889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Posavec
• Postpartum Mental Health LLC
• Jaylend Benjamin Powell
• Lauren Alexis Powell
• Randy Edward Powell
• Jackson Robert Powers
• Ronald Dewayne Powers, MFT PHD
• Susan Lee Powers
• Premiercare Anesthesia Inc
• Premiere Home Health Care Inc

• Physical Therapy Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, 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 7, 2011; 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.