Active NPI
Empowered Athletics Physical Therapy Co
- Physical Therapist
- Irvine, CA
National Provider Identifier
1457069650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.