Stabilize Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STABILIZE PHYSICAL THERAPY, INC.

Practice address

881 Dover Dr
Suite 285
Newport Beach, CA 92663-5962

Phone

(949) 631-3321

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Laura C. Gorham, PT, MPTNPI 1740551597

Title

President

Phone

(949) 631-3321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Laura Christine Gorham, P.T.

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1740551597
  Medicare reassignment Care Compare group NPD Authorized official
• Anne Jilian Tiangco Perez, PT, DPT

  • Physical Therapist
  • Irvine, CA
  • NPI 1902363625
  Medicare reassignment Care Compare group NPD
• Fergie Anne Cruz Mercado, PT, DPT

  • Physical Therapist
  • Irvine, CA
  • NPI 1598430712
  Medicare reassignment NPD

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1548502610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 DOVER DR",
            "address_2": "SUITE 285",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635962",
            "telephone_number": "949-631-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 DOVER DR",
            "address_2": "SUITE 285",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635962",
            "telephone_number": "949-631-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABILIZE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-631-3321",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC Newport Beach Operating Company LP (Flagship Healthcare Center)
• SSK Plastic Surgery Inc
• St. Jude Hospital Yorba Linda (Wellness-Newport Center)
• Jessica Jones St.Clair, MFT
• Debra Dee St.Lawrence-Sussman, LMFT
• Angela Rose Stafford, MS DC
• Staffrehab
• Jenna Stagnaro
• Janet Michelle Stallman, MD
• Stand Tall Physical Therapy, Inc.

• Physical Therapy Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.