Solano Sports Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20690 Issued in CA

Legal business name

SOLANO SPORTS PHYSICAL THERAPY INC

Practice address

1350 Burton Dr Ste 260
Vacaville, CA 95687-3545

Phone

(707) 449-3484

Fax

(707) 449-1803

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Michael Kassis, P.T.

Title

Owner

Phone

(707) 449-3484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Martin Mojica, DPT

  • Physical Therapist
  • Vacaville, CA
  • NPI 1255298832
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1740332006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BURTON DR STE 260",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873545",
            "telephone_number": "707-449-3484",
            "fax_number": "707-449-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BURTON DR STE 260",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873545",
            "telephone_number": "707-449-3484",
            "fax_number": "707-449-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANO SPORTS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-449-3484",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solano Dermatology Associates Inc
• Solano Plastic Surgery, Inc
• Solano Regional Medical Grou
• Solano Regional Medical Group Inc
• Solano Sports Physical Therapy & Training, Inc.
• Gabrielle Solares
• Gabriel B Solis
• Theresa Gail Solomon
• Ma Pinky A Sombito, REGISTERED NURSE
• Bryan Son, PHARMD

• Physical Therapist in Vacaville, CA
• Providers in Vacaville, 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 9, 2019; 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.