MDRS Spine & Sport, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MDRS SPINE & SPORT, INC

Practice address

41715 Winchester Rd
Suite 202
Temecula, CA 92590-4808

Phone

(951) 296-0788

Fax

(951) 296-3661

NPI assigned

Sep 19, 2008

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MDRS, INCAs reported in NPPES

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

Authorized official

Name

Angel Collado

Title

Revenue Cycle Director

Phone

(858) 264-1417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  O20031111000725

  Same enrollment

Tax ID family

MDRS Spine Sport Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD tax ID
• San Diego Spine & Sport, Inc

  dba South Bay Spine & Sport

  • Ergonomics Occupational Therapist
  • Chula Vista, CA
  • NPI 1063405637
  NPD tax ID

Locations (25 of 28)

Practitioners 380

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.

• Angelika Faith Pel Agahan, PT

  • Physical Therapist
  • Jackson, CA
  • NPI 1003550583
  NPD
• Jolina Maniquiz Ambata, DPT

  • Physical Therapist
  • Escondido, CA
  • NPI 1730041864
  NPD
• Christopher Timothy Andrews

  • Physical Therapist
  • Lemon Grove, CA
  • NPI 1003612433
  NPD
• Audrey Ang, PT, DPT

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1649952250
  NPD
• Canan Kfier Asher, P.T./D.P.T

  • Physical Therapist
  • West Hollywood, CA
  • NPI 1346634490
  NPD
• Lanza Attisha

  • Physical Therapist
  • San Diego, CA
  • NPI 1396599874
  NPD
• Romo Avalos, ATC, DPT

  • Physical Therapist
  • Escondido, CA
  • NPI 1437825783

  Multi-Specialty

  NPD
• Arlyn Olaa Bacallan, DPT.

  • Physical Therapist
  • San Diego, CA
  • NPI 1376257865
  NPD
• Carly Joy Bagnall, PT, DPT

  • Physical Therapist
  • Santa Cruz, CA
  • NPI 1356867840
  NPD
• Brianna Baldwin, DPT.

  • Physical Therapist
  • Ventura, CA
  • NPI 1063244671
  NPD
• Maya Karin Berkman, PT, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1154139046
  NPD
• Julia Elizabeth Berry

  • Physical Therapist
  • Palo Alto, CA
  • NPI 1053966713
  NPD

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1689824203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "888-208-8526",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "SUITE 202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904808",
            "telephone_number": "951-296-0788",
            "fax_number": "951-296-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDRS SPINE & SPORT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDRS, INC",
        "enumeration_date": "2008-09-19",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "858-264-1417"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.