Individual provider Active NPI

Teresa Delatolla Fiano, PT

  • Specialist
  • San Clemente, CA
National Provider Identifier
1528309754
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT32302 Issued in CA
Practice address
1031 Avenida Pico
Suite 201
San Clemente, CA 92673-6352
Phone
(949) 388-8788
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT32302 CA Primary

Addresses

Primary practice location

1031 Avenida Pico
Suite 201
San Clemente, CA 92673-6352

Mailing address

34426 Via Gomez
Capistrano Beach, CA 92624-1319

Other names 1

  • Teresa Delatolla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT32302CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Thrive Pediatric Therapy Group Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1528309754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34426 VIA GOMEZ",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 AVENIDA PICO",
            "address_2": "SUITE 201",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736352",
            "telephone_number": "949-388-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATOLLA FIANO",
        "first_name": "TERESA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT32302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "DELATOLLA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.