St Mary Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40211 Issued in CA

Legal business name

ST MARY PHYSICAL THERAPY INC

Practice address

432 S Church St
Visalia, CA 93277-2703

Phone

(516) 406-4898

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Sameh M Nasr, PTNPI 1851651293

Title

Physical Therapist/Owner

Phone

(516) 406-4898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Sameh Morcos Nasr, MS PT

  • Physical Therapist
  • Visalia, CA
  • NPI 1851651293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1487074977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7270",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907270",
            "telephone_number": "516-406-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S CHURCH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772703",
            "telephone_number": "516-406-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "516-406-4898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Sproles, DDS
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• Benny Bounmy Sripaserth, CASE MANAGER
• St. George Surgical Center
• Mark Oliver Stack Jr.
• Brian Lee Stagg, ED.S.
• Miroslav Mike Stanic, D.D.S.
• Michael Stanley

• Physical Therapist in Visalia, CA
• Providers in Visalia, 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 9, 2014; 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.