Organization Active NPI

Duchenne Therapy Network, a Physical Therapy Corporation

  • Home Health Agency
  • Newport Beach, CA
National Provider Identifier
1710297247
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PT27874 Issued in CA
Legal business name
DUCHENNE THERAPY NETWORK, A PHYSICAL THERAPY CORPORATION
Practice address
1400 Quail St
Unit 110
Newport Beach, CA 92662
Phone
(909) 997-3134
Fax
(909) 494-4326
NPI assigned
Oct 18, 2010
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Jennifer Marie Valdes, P.T.NPI 1205855921
Title
Owner/P.T.
Phone
(909) 997-3134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PT27874 CA Primary

Addresses

Primary practice location

1400 Quail St
Unit 110
Newport Beach, CA 92662

Mailing address

PO Box 811386
Los Angeles, CA 90081
Phone (909) 997-3134

National Provider Directory

National Provider Directory

Locations

1400 Quail St
Ste 110
Newport Beach, CA 92660
Phone (909) 997-3134

Practitioners & affiliated clinicians

Practitioners 1

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1710297247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811386",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90081",
            "telephone_number": "909-997-3134",
            "fax_number": "909-494-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST",
            "address_2": "UNIT 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92662",
            "telephone_number": "909-997-3134",
            "fax_number": "909-494-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCHENNE THERAPY NETWORK, A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/P.T.",
        "authorized_official_telephone_number": "909-997-3134",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "PT27874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.