Organization Active NPI

Bristol Physical Therapy & Sports Medicine Center

  • Orthopedic Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1760519177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
188825 Issued in CA
Legal business name
BRISTOL PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Practice address
2703 N Bristol Street
Suite H 1
Santa Ana, CA 92706-1472
Phone
(714) 664-0411
Fax
(714) 664-0402
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teresa Vazquez
Title
Chief Executive
Phone
(714) 648-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 188825 CA Primary

Addresses

Primary practice location

2703 N Bristol Street
Suite H 1
Santa Ana, CA 92706-1472

Mailing address

2703 N Bristol Street
Suite H 1
Santa Ana, CA 92706-1472
Phone (714) 664-0411

National Provider Directory

National Provider Directory

Locations

2703 N Bristol St
Ste H
Santa Ana, CA 92706
Phone (714) 664-0411

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760519177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N BRISTOL STREET",
            "address_2": "SUITE H 1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061472",
            "telephone_number": "714-664-0411",
            "fax_number": "714-664-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N BRISTOL STREET",
            "address_2": "SUITE H 1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061472",
            "telephone_number": "714-664-0411",
            "fax_number": "714-664-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PHYSICAL THERAPY & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "714-648-0335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "188825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.