NPIMap

Organization Active NPI

Superior Performance Physical Therapy PC

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1669839460
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43596 Issued in CA
Legal business name
SUPERIOR PERFORMANCE PHYSICAL THERAPY PC
Practice address
4695 Macarthur CT
Suite 1100
Newport Beach, CA 92660-1882
Phone
(949) 423-6241
Fax
(844) 538-9597
NPI assigned
Jan 25, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Heather Britany Whiting Demirci, PT, FFMT, FAAOMPTNPI 1184912131
Title
Founder and Ceo
Phone
(949) 423-6241

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 43596 CA Primary

Addresses

Primary practice location

4695 Macarthur CT
Suite 1100
Newport Beach, CA 92660-1882

Mailing address

4695 Macarthur CT
Suite 1100
Newport Beach, CA 92660-1882
Phone (949) 423-6241

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1669839460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT",
            "address_2": "SUITE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "949-423-6241",
            "fax_number": "844-538-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT",
            "address_2": "SUITE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "949-423-6241",
            "fax_number": "844-538-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PERFORMANCE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "DEMIRCI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BRITANY WHITING",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "949-423-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, FFMT, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.