Organization Active NPI

Empowered Athletics Physical Therapy Co

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1457069650
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMPOWERED ATHLETICS PHYSICAL THERAPY CO
Practice address
16 Technology Dr Ste 169
Irvine, CA 92618-2328
Phone
(949) 502-0951
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Dr. Kaitlynne Elizabeth Ireland, DPT
Title
Owner, Physical Therapist
Phone
(949) 584-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16 Technology Dr Ste 169
Irvine, CA 92618-2328

Mailing address

24 Regalo Dr
Mission Viejo, CA 92692-5100
Phone (949) 584-7787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1457069650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 REGALO DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925100",
            "telephone_number": "949-584-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY DR STE 169",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182328",
            "telephone_number": "949-502-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED ATHLETICS PHYSICAL THERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "KAITLYNNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-584-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.