Organization Active NPI

Mary Kate Saunders Physical Therapy

  • Physical Therapist
  • Laguna Beach, CA
National Provider Identifier
1699792697
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15023 Issued in CA
Legal business name
MARY KATE SAUNDERS PHYSICAL THERAPY
Practice address
906 Glenneyre St
Laguna Beach, CA 92651-2707
Phone
(949) 494-2046
Fax
(949) 494-2043
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Mary Kate Saunders, P.T.
Title
Owner/P.T.
Phone
(949) 494-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT15023 CA Primary

Addresses

Primary practice location

906 Glenneyre St
Laguna Beach, CA 92651-2707

Mailing address

906 Glenneyre St
Laguna Beach, CA 92651-2707
Phone (949) 494-2046

National Provider Directory

National Provider Directory

Locations

1285 Glenneyre St
Laguna Beach, CA 92651
Phone (949) 494-2046

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1699792697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512707",
            "telephone_number": "949-494-2046",
            "fax_number": "949-494-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512707",
            "telephone_number": "949-494-2046",
            "fax_number": "949-494-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KATE SAUNDERS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "OWNER/P.T.",
        "authorized_official_telephone_number": "949-494-2046",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.