Active NPI
Duane Pierce, PT, OTR/L
- Physical Therapist
- Bonita, CA
National Provider Identifier
1659743359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 43481
- Practice address
- 5973 Steeplechase Rd
Bonita, CA 91902-3041 - Phone
- (619) 586-8719
- Fax
- (619) 566-4353
- NPI assigned
- Oct 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15164 | CA | |
| Physical Therapist | 225100000X | PT 43481 | CA | Primary |
Addresses
Primary practice location
5973 Steeplechase Rd
Bonita, CA 91902-3041
Mailing address
5973 Steeplechase Rd
Bonita, CA 91902-3041
Phone (619) 392-4602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43481 | CA | MD | Dentist |
| PT 43481 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1659743359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5973 STEEPLECHASE RD",
"city": "BONITA",
"state": "CA",
"postal_code": "919023041",
"telephone_number": "619-392-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5973 STEEPLECHASE RD",
"city": "BONITA",
"state": "CA",
"postal_code": "919023041",
"telephone_number": "619-586-8719",
"fax_number": "619-566-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "DUANE",
"name_prefix": "Mr.",
"credential": "PT, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-21",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15164",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 43481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.