Robert Herrick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27346 Issued in CA

Practice address

27062 La Paz Rd
Aliso Viejo, CA 92656-3041

Phone

(949) 362-8877

Fax

(949) 389-9564

NPI assigned

May 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Health Medical Group, Inc

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1093896862
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1497921282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27196 RYAN DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773564",
            "telephone_number": "949-362-8877",
            "fax_number": "949-389-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27062 LA PAZ RD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563041",
            "telephone_number": "949-362-8877",
            "fax_number": "949-389-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henri Koroveshi LCSW a Licensed Clinical Social Worker Corporation
• Carolyn Gray Henry, COTA
• Samuel Herman, M.D.
• Julia C. Hermes, MD
• Sharleen Renee Herrera, OTR
• Hi-Power Inc.
• High Tide Speech and Language Therapy
• Anselm Lu Sing Hii, M.D.
• Shannon Elizabeth Hill, PT MPT
• Vu Thai Ho, RPH

• Physical Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.