NPIMap

Organization Active NPI

Tustin Physical Therapy Specialists, Inc.

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1639679863
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TUSTIN PHYSICAL THERAPY SPECIALISTS, INC.
Practice address
15000 Kensington Park Dr
Tustin, CA 92782-1821
Phone
(714) 883-4972
NPI assigned
Feb 14, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Risha Amin Strople, PT, DPTNPI 1629234414
Title
Secretary
Phone
(657) 859-6458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

15000 Kensington Park Dr
Tustin, CA 92782-1821

Mailing address

19582 Beach Blvd Ste 130
Huntington Beach, CA 92648-5924
Phone (714) 841-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218002836 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830437748 Receives reassigned benefits from 7 practitioners
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

15000 Kensington Park Dr
Tustin, CA 92782
Phone (657) 859-6458

15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639679863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485924",
            "telephone_number": "714-841-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 KENSINGTON PARK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821821",
            "telephone_number": "714-883-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN PHYSICAL THERAPY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STROPLE",
        "authorized_official_first_name": "RISHA",
        "authorized_official_middle_name": "AMIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "657-859-6458",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.