NPIMap

Organization Active NPI

Advanced Performance Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Lompoc, CA
National Provider Identifier
1720023658
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26087 Issued in CA
Legal business name
ADVANCED PERFORMANCE PHYSICAL THERAPY AND REHABILITATION, INC
Practice address
1201 E. Ocean Avenue, Ste. a
Lompoc, CA 93436
Phone
(805) 735-8365
Fax
(805) 735-2604
NPI assigned
Jun 17, 2006
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Caleb W Stewart, PTNPI 1225077738
Title
President/Owner
Phone
(805) 735-8365

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
Physical Therapist 225100000X PT26087 CA Primary

Addresses

Primary practice location

1201 E. Ocean Avenue, Ste. a
Lompoc, CA 93436

Mailing address

1201 E. Ocean Avenue, Ste. a
Lompoc, CA 93436
Phone (805) 735-8365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070126000337 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325049745 Receives reassigned benefits from 14 practitioners
Practice locations: Lompoc, CA

National Provider Directory

National Provider Directory

Locations

1101 E Ocean Ave
Lompoc, CA 93436
Phone (805) 735-8365

1201 E Ocean Ave
Lompoc, CA 93436
Phone (805) 735-8365

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1720023658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E. OCEAN AVENUE, STE. A",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-735-8365",
            "fax_number": "805-735-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E. OCEAN AVENUE, STE. A",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-735-8365",
            "fax_number": "805-735-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERFORMANCE PHYSICAL THERAPY AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "805-735-8365",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.