Physical Therapy Center, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7583 Issued in CA

Legal business name

PHYSICAL THERAPY CENTER, INC

Doing business as

Acic Physical Therapy

Practice address

25982 Pala
Suite 230
Mission Viejo, CA 92691-6719

Phone

(949) 582-0125

Fax

(949) 582-0261

NPI assigned

Feb 3, 2010

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Y Herz

Title

Practice Manager

Phone

(949) 754-1344

Specialties & licenses 1

Addresses

Other names 1

• ACIC PHYSICAL THERAPY Doing business as

Tax ID family

A C I C Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Physical Therapy Center, Inc

  dba A.C.I.C. Physical Therapy

  • Physical Therapist
  • Irvine, CA
  • NPI 1689754194
  NPD tax ID

Locations

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1730411604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-582-0125",
            "fax_number": "949-582-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-582-0125",
            "fax_number": "949-582-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "HERZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "949-754-1344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACIC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn Phillips, PA
• Robert Allen Phillips Jr., D.C.
• Gary Jack Phipps, M.D.
• Renee Phipps
• PHV 3 Rcfe LLC
• Harrison Pijloo, DPT
• Leilan Pince, PHARM. D,
• Stephanie Jean Pinder, LMFT
• Shannon William Pink, PMHNP-BC
• David Michael Pino, M.D.

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.