Fullerton Physical Therapy & Sports Care, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FULLERTON PHYSICAL THERAPY & SPORTS CARE, INC.

Practice address

680 Langsdorf Dr Ste 100
Fullerton, CA 92831-3702

Phone

(714) 871-0460

Fax

(714) 871-5342

NPI assigned

Oct 6, 2006

Last updated

Oct 6, 2020By 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

Ms. Erin Styron

Title

Secretary/Office MGR

Phone

(714) 871-0460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Ronald Lee Cunningham, MPT

  • Physical Therapist
  • Fullerton, CA
  • NPI 1124115407
  Medicare reassignment Care Compare group NPD
• Ryan Alexander. Hartshorn, DPT

  • Physical Therapist
  • Fullerton, CA
  • NPI 1982791265
  Medicare reassignment Care Compare group NPD
• Wendy Soesman, OTR/L

  • Pediatric Occupational Therapist
  • Brea, CA
  • NPI 1740544311
  Medicare reassignment NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1750478210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-871-0460",
            "fax_number": "714-871-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-871-0460",
            "fax_number": "714-871-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON PHYSICAL THERAPY & SPORTS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "STYRON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SECRETARY/OFFICE MGR",
        "authorized_official_telephone_number": "714-871-0460",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fullerton Healthcare & Wellness Centre, LP (The Pavilion at Sunny Hills)
• Fullerton Healthcare, Inc. (St. Elizabeth Healthcare Center)
• Fullerton Joint Uhsd
• Fullerton Medical Pharmacy Inc
• Fullerton Orthopaedic Surgery Medical Group, Inc.
• Fullerton Plaza Guest Home
• Fullerton Pulmonary & Critical Care Inc
• Fullerton Rosewood Assisted Living, Inc.
• Fullerton School District
• Fullerton SH LLC

• Physical Therapy Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.