Organization Active NPI

Nica Physical Therapy, Sport & Rehab

  • Physical Therapy Clinic/Center
  • Valencia, CA
National Provider Identifier
1740796242
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NICA PHYSICAL THERAPY, SPORT & REHAB
Practice address
25427 Rye Canyon Rd
Valencia, CA 91355-1206
Phone
(661) 425-6441
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Dr. Jon Nicastro, DPT
Title
Owner
Phone
(661) 425-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

25427 Rye Canyon Rd
Valencia, CA 91355-1206

Mailing address

25852 McBean Pkwy Unit 863
Santa Clarita, CA 91355-2004
Phone (661) 425-6441

National Provider Directory

National Provider Directory

Locations

25852 McBean Pkwy
Valencia, CA 91355
Phone (510) 387-1659

25427 Rye Canyon Rd
Valencia, CA 91355
Phone (661) 425-6441

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1740796242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25852 MCBEAN PKWY UNIT 863",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552004",
            "telephone_number": "661-425-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25427 RYE CANYON RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551206",
            "telephone_number": "661-425-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICA PHYSICAL THERAPY, SPORT & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "NICASTRO",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-425-6441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.