Active NPI
Ezia Physical Therapy LLC
Doing business as NAKOA Fitness and Physical Therapy
- Orthopedic Physical Therapist
- Carlsbad, CA
National Provider Identifier
1760832257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 38762
- Legal business name
- EZIA PHYSICAL THERAPY LLC
- Doing business as
- NAKOA Fitness and Physical Therapy
- Practice address
- 6068 Corte del Cedro Ste 100
Carlsbad, CA 92011-1514 - Phone
- (760) 804-1700
- Fax
- (760) 804-1780
- NPI assigned
- Jun 15, 2016
- Last updated
- May 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ave Hildebrand
- Title
- Billing Manager
- Phone
- (760) 804-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 38762 | CA | Primary |
Addresses
Primary practice location
6068 Corte del Cedro Ste 100
Carlsbad, CA 92011-1514
Mailing address
6068 Corte del Cedro Ste 100
Carlsbad, CA 92011-1514
Phone (760) 804-1700
Other names 1
- NAKOA Fitness and Physical Therapy
National Provider Directory
National Provider DirectoryLocations
5850 El Camino Real
Ste 100
Carlsbad, CA 92008
Phone (760) 804-1700
6068 Corte del Cedro
Ste 100
Carlsbad, CA 92011
Phone (760) 804-1700
Practitioners & affiliated clinicians
Practitioners 1
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": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1760832257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6068 CORTE DEL CEDRO STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111514",
"telephone_number": "760-804-1700",
"fax_number": "760-804-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6068 CORTE DEL CEDRO STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111514",
"telephone_number": "760-804-1700",
"fax_number": "760-804-1780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZIA PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "HILDEBRAND",
"authorized_official_first_name": "AVE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "760-804-1700"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "38762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NAKOA Fitness and Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.