West Coast Spine and Sports Therapy Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WEST COAST SPINE AND SPORTS THERAPY CENTER

Practice address

6814 Magnolia Ave
Riverside, CA 92506-2843

Phone

(951) 774-0793

Fax

(951) 774-0783

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Nancy D Kishino, OTNPI 1598847279

Title

Director

Phone

(951) 653-4480

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Nancy Daubert Kishino, OT

  • Occupational Therapist
  • Riverside, CA
  • NPI 1598847279
  NPD (past) Authorized official

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1619278751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062843",
            "telephone_number": "951-774-0793",
            "fax_number": "951-774-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062843",
            "telephone_number": "951-774-0793",
            "fax_number": "951-774-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST SPINE AND SPORTS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "KISHINO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-653-4480",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Werner
• West Coast ABA
• West Coast ABA
• West Coast DME & Supplies LLC (OrthoKinetix)
• West Coast Spine and Sports Therapy
• West Coast Spine Restoration Center, Inc
• Gerald I. West Jr., MD
• Chila West
• James West, MD
• Kailani West

• Physical Therapy Clinic/Center in Riverside, CA
• Providers in Riverside, 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 Nov 5, 2010; 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.