Signature Physical Therapy P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SIGNATURE PHYSICAL THERAPY P C

Practice address

1393 Calle Avanzado
San Clemente, CA 92673-6351

Phone

(949) 481-0015

Fax

(949) 481-5611

NPI assigned

Nov 6, 2006

Last updated

Jun 29, 2020By 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

Mr. Stephen Eric McDonald

Title

Billing Manager

Phone

(949) 481-0015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Belinda Jane McDonald, PT, COMT

  • Physical Therapist
  • San Clemente, CA
  • NPI 1336207000
  Medicare reassignment NPD
• Helen Tache Kabbani, D.P.T.

  • Physical Therapist
  • San Clemente, CA
  • NPI 1568777050
  NPD (past)
• Christopher Kamen, PT, DPT, COMT, ATC

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1447318944
  NPD (past)
• Molly Parker, D.P.T.

  • Orthopedic Physical Therapist
  • San Clemente, CA
  • NPI 1346539772
  NPD (past)
• Mary M. Reischl, P.T.

  • Physical Therapist
  • San Clemente, CA
  • NPI 1104030469
  NPD (past)
• Angela Ryan Tumbrello, PTA

  • Physical Therapy Assistant
  • San Clemente, CA
  • NPI 1629212337
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1457430688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 CALLE AVANZADO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736351",
            "telephone_number": "949-481-0015",
            "fax_number": "949-481-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 CALLE AVANZADO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736351",
            "telephone_number": "949-481-0015",
            "fax_number": "949-481-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-481-0015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Shue, MD
• Mark S Shulman, MD
• Eric Sickinger, D.O.
• Gregory Todd Siebert, DC
• Signature Endodontics
• Angela Sigua
• Adrienne Silva, BCBA
• Cheryl E. Silverstein, MFT 8856
• Wyatt D. Simons, DDS, PC
• Eden Singh

• Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.