Physical Therapy Center, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7583 Issued in CA

Legal business name

PHYSICAL THERAPY CENTER, INC

Practice address

16253 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3605

Phone

(949) 754-1344

Fax

(949) 754-1351

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenji Yoshino, D.P.T., A.T., C.

Title

Owner/President

Phone

(949) 754-1344

Specialties & licenses 1

Addresses

Other names 1

• A.C.I.C. PHYSICAL THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

A C I C 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.

• Physical Therapy Center, Inc

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1730411604
  NPD tax ID

Locations

Practitioners 3

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

• Sibylle Apurva Mehta, P.T.

  • Physical Therapist
  • Irvine, CA
  • NPI 1154616852
  Medicare reassignment Care Compare group NPD
• Stacy Lauren Pearl, M.P.T.

  • Physical Therapist
  • Irvine, CA
  • NPI 1619206869
  Medicare reassignment Care Compare group NPD
• Daniel Robert Ganninger, PT, MED, MPT

  • Physical Therapist
  • Fort Sam Houston, TX
  • NPI 1154316891
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1689754194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16253 LAGUNA CANYON RD",
            "address_2": "SUITE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183605",
            "telephone_number": "949-754-1344",
            "fax_number": "949-754-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16253 LAGUNA CANYON RD",
            "address_2": "SUITE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183605",
            "telephone_number": "949-754-1344",
            "fax_number": "949-754-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "YOSHINO",
        "authorized_official_first_name": "KENJI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-754-1344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.T., A.T., C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.C.I.C. PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Phu
• Mike CHI Phu
• Christine Thu Phung, DMD
• Ngoc Lena Phung, R.PH
• Physica Inc.
• Physrecovery Physical Therapy, Inc.
• Sarah Jiann-Wen Pi
• Robert Piacentini III, OTR/L, ATC
• Jeremi John Legaspina Piamonte, NP
• Maximiliano Pichon Rivera

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.