NPIMap

Organization Active NPI

Solano Sports Physical Therapy Inc

  • Physical Therapist
  • Vacaville, CA
National Provider Identifier
1740332006
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Michael Kassis, P.T.NPI 1497734404
Title
Owner
Phone
(707) 449-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT20690 CA Primary

Addresses

Primary practice location

1350 Burton Dr Ste 260
Vacaville, CA 95687-3545

Mailing address

1350 Burton Dr Ste 260
Vacaville, CA 95687-3545
Phone (707) 449-3484

National Provider Directory

National Provider Directory

Locations

1350 Burton Dr
Ste 260
Vacaville, CA 95687
Phone (707) 449-3484

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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": []
}

Other providers in Vacaville, CA

Sources for this page

  • 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.