Active NPI
Vanessa Warrior, PT
- Pediatric Physical Therapist
- Irvine, CA
National Provider Identifier
1700181419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 29457
- Practice address
- 980 Roosevelt
Suite 100
Irvine, CA 92620-3672 - Phone
- (949) 636-5816
- NPI assigned
- Jan 12, 2011
- Last updated
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 29457 | CA | Primary |
Addresses
Primary practice location
980 Roosevelt
Suite 100
Irvine, CA 92620-3672
Mailing address
24191 Grayston Dr
Lake Forest, CA 92630-3839
Phone (949) 636-5816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29457 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy of Orange County | Pediatrics | Past | Accepting new patients |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- Voluntary or Charitable Agency
- Santa Ana, CA
- NPI 1043458771
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1700181419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24191 GRAYSTON DR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303839",
"telephone_number": "949-636-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 ROOSEVELT",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203672",
"telephone_number": "949-636-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARRIOR",
"first_name": "VANESSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "29457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.