NPIMap

Organization Active NPI

Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Del Mar, CA
National Provider Identifier
1720517428
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINEZONE MEDICAL FITNESS, INC.
Practice address
12865 Pointe del Mar Way Ste 190
Del Mar, CA 92014-3860
Phone
(844) 316-7979
Fax
(866) 813-1235
NPI assigned
Jun 6, 2017
Organization subpart
Yes
Parent organization
SPINEZONE MEDICAL FITNESS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Ivania Castle
Title
Billing Manager
Phone
(619) 432-4634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12865 Pointe del Mar Way Ste 190
Del Mar, CA 92014-3860

Mailing address

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other names 1

  • SpineZone Medical Fitness, Inc. Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@spinezone.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Livara HLTH Med GRP PC14 organizations share this tax ID, including this one
Part of
Livara HLTH Med GRP PC

Other organizations with this tax ID 13

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

View all 13

Locations

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

2535 Camino del Rio S
Ste 150
San Diego, CA 92108
Phone (619) 294-2550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1720517428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY STE 190",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEZONE MEDICAL FITNESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINEZONE MEDICAL FITNESS, INC.",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "IVANIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "619-432-4634"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@spinezone.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7525 Metropolitan Dr Ste 306",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921084404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SpineZone Medical Fitness, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.