NPIMap

Organization Active NPI

Physical Therapy Center, Inc

Doing business as A.C.I.C. Physical Therapy

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1689754194
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7583 Issued in CA
Legal business name
PHYSICAL THERAPY CENTER, INC
Doing business as
A.C.I.C. Physical Therapy
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
Last updated
Jan 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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.NPI 1275528911
Title
Owner/President
Phone
(949) 754-1344

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 PT7583 CA Primary

Addresses

Primary practice location

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

Mailing address

16253 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3605
Phone (949) 754-1344

Other names 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627001185 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587609862 Receives reassigned benefits from 2 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory
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.

Locations

111 Pacifica
Ste 150
Irvine, CA 92618
Phone (949) 754-1344

16253 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 754-1344

Practitioners & affiliated clinicians

Practitioners 4

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": "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"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • 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.