Fysiopt Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FYSIOPT INC

Practice address

4425 Jamboree Rd Ste 117
Newport Beach, CA 92660-3006

Phone

(312) 339-8339

NPI assigned

May 31, 2019

Organization subpart

No

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

Authorized official

Name

Sanjay K Reddy, PT

Title

Physical Therapist/ Owner

Phone

(312) 339-8339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1619535903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ROADRUNNER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030161",
            "telephone_number": "312-339-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 117",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603006",
            "telephone_number": "312-339-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYSIOPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "312-339-8339",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Fuller
• Shirley Furman, N.P.
• Alexis Dorian Furze, MD, FACS
• Susan T Fusaro, MASTERS
• Tiffany Futrell, NP, PMHNP-BC
• Monserrat Gabriel-Santoyo
• Annasha Vyas Gabriel, MD
• Zenovia Hatziris Gabriel, MD
• Suzannah Leah Gadd, MPH, RDN
• Mubina Gaffar, M.D

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.