Central Coast Lymphedema

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35961 Issued in CA

Legal business name

CENTRAL COAST LYMPHEDEMA

Practice address

3271 S Higuera St Ste 102
San Luis Obispo, CA 93401-1205

Phone

(057) 829-3008

Fax

(805) 782-9700

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Elizabeth Cinotto, PT-DPT, CLTNPI 1568577088

Title

Physical Therapist

Phone

(312) 451-9566

Specialties & licenses 2

Addresses

Other names 1

• Templeton Lymphedema Therapy Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Jamie Cinotto, DPT

  • Physical Therapist
  • San Luis Obispo, CA
  • NPI 1568577088
  Medicare reassignment NPD Authorized official
• Suzanne Rose Kritz, PT, DPT

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1396343042
  Medicare reassignment NPD

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1619360039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 S HIGUERA ST STE 102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011205",
            "telephone_number": "805-782-9300",
            "fax_number": "805-782-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 S HIGUERA ST STE 102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011205",
            "telephone_number": "057-829-3008",
            "fax_number": "805-782-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST LYMPHEDEMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "CINOTTO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-451-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT-DPT, CLT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35961",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Templeton Lymphedema Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Templeton Lymphedema Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Central Coast Home Health Inc
• Central Coast Home Health Inc
• Central Coast Home Health, Inc.
• Central Coast Imaging, P.C.-Raytel Medical Imaging
• Central Coast Institute for Plastic Surgery, AMC
• Central Coast Lymphedema Therapy
• Central Coast Maternal-Fetal Medicine
• Central Coast Neurological Surgery PC
• Central Coast Neurology Medical Group, Inc
• Central Coast Nursing Home Physicians, Inc.

• Physical Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 22, 2023; 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.