Cisneala a Professional Physical Therapy Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT21308 Issued in CA

Legal business name

CISNEALA A PROFESSIONAL PHYSICAL THERAPY CORPORATION

Doing business as

Mullins Physical Therapy and Yoga

Practice address

2831 Camino del Rio S Ste 111
San Diego, CA 92108-3827

Phone

(619) 847-8774

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Mullins, PTNPI 1346390911

Title

Owner/Physical Therapist

Phone

(619) 340-0400

Specialties & licenses 1

Addresses

Other names 1

• Mullins Physical Therapy and Yoga Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Mullins, M.P.T.

  • Physical Therapist
  • San Diego, CA
  • NPI 1346390911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1619498250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 FORRESTAL RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201711",
            "telephone_number": "619-847-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083827",
            "telephone_number": "619-847-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISNEALA A PROFESSIONAL PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "619-340-0400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT21308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mullins Physical Therapy and Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Cirket, PSYD
• Olga Cirlugea, PHD
• Karli Cirovski
• Daisy Ciru
• Caesar Jovellana Ciruela, OT
• Alejandra Cisneros Serrano
• Monica Cisneros Vazquez
• Maribel Esperanza Cisneros-Almanza
• Gerardo Cisneros-Seibel, MD
• Philip Cisneros-Seibel, PHD

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, 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 Oct 18, 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.