Organization Active NPI

Physical Therapy Specialists PTS, Inc.

  • Physical Therapist
  • Pismo Beach, CA
National Provider Identifier
1760793236
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3295955 Issued in CA
Legal business name
PHYSICAL THERAPY SPECIALISTS PTS, INC.
Practice address
271 Five Cities Dr
Pismo Beach, CA 93449-3009
Phone
(805) 473-7499
Fax
(805) 473-7494
NPI assigned
Jun 29, 2010
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Shelly Marie Allis, PTNPI 1881769990
Title
Physical Therapist/Owner
Phone
(805) 473-7499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3295955 CA Primary

Addresses

Primary practice location

271 Five Cities Dr
Pismo Beach, CA 93449-3009

Mailing address

PO Box 2638
Pismo Beach, CA 93448-2638
Phone (805) 473-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000200 CA Part B Supplier - Clinic/Group Practice 0143357517 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Pismo Beach, CA

National Provider Directory

National Provider Directory

Locations

2 James Way
Ste 214
Pismo Beach, CA 93449
Phone (805) 295-6594

271 Five Cities Dr
Pismo Beach, CA 93449
Phone (805) 473-7499

Practitioners & affiliated clinicians

Practitioners 7

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1760793236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2638",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934482638",
            "telephone_number": "805-473-7499",
            "fax_number": "805-473-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FIVE CITIES DR",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493009",
            "telephone_number": "805-473-7499",
            "fax_number": "805-473-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS PTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "ALLIS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "805-473-7499",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "3295955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.