NPIMap

Organization Active NPI

North County Physical Therapy,Inc.

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
National Provider Identifier
1649445180
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT16770 Issued in CA
Legal business name
NORTH COUNTY PHYSICAL THERAPY,INC.
Practice address
1191 Creston Rd Ste 115
Paso Robles, CA 93446-3033
Phone
(805) 239-3696
Fax
(805) 239-3697
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mrs. Mary Ann Burke, RPTNPI 1710045422
Title
Owner/President
Phone
(805) 239-3696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT16770 CA Primary

Addresses

Primary practice location

1191 Creston Rd Ste 115
Paso Robles, CA 93446-3033

Mailing address

1191 Creston Rd Ste 115
Paso Robles, CA 93446-3033
Phone (805) 239-3696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000870 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688605470 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Atascadero, CA; Paso Robles, CA; San Luis Obispo, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
North County Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6713 Morro Rd
Atascadero, CA 93422
Phone (805) 461-5514

1191 Creston Rd
Ste 115
Paso Robles, CA 93446
Phone (805) 227-4156

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1649445180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 CRESTON RD STE 115",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463033",
            "telephone_number": "805-239-3696",
            "fax_number": "805-239-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CRESTON RD STE 115",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463033",
            "telephone_number": "805-239-3696",
            "fax_number": "805-239-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY PHYSICAL THERAPY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "805-239-3696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT16770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.