Full Swing Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41963 Issued in CA

Legal business name

FULL SWING PHYSICAL THERAPY

Practice address

21411 Moresby Way
Lake Forest, CA 92630-7284

Phone

(831) 320-6634

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Escobedo Garcia, PT, DPT

Title

Owner, Founder

Phone

(831) 320-6634

Specialties & licenses 1

Addresses

Other names 1

• Full Swing PT Other name

Locations

Practitioners 1

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

• Randal Jay Aldridge, MS PT ATC

  • Orthopedic Physical Therapist
  • Auburn, AL
  • NPI 1598749376
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1720522972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21411 MORESBY WAY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307284",
            "telephone_number": "831-320-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411 MORESBY WAY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307284",
            "telephone_number": "831-320-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SWING PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "ESCOBEDO",
        "authorized_official_title_or_position": "OWNER, FOUNDER",
        "authorized_official_telephone_number": "831-320-6634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Swing PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dzoara Franco Camacho
• Jenna Frazer, PT, DPT
• Jaime Freeborn, PPS
• Freedom Collective Therapy Group
• Yuko Fujinoki
• Lucas Fuller
• Kaitlyn Furman
• G. Fazilat, Inc
• Al Garcia, PHARM.D.
• Alfredo Garcia

• Physical Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.