Organization Active NPI

Ezia Physical Therapy LLC

Doing business as NAKOA Fitness and Physical Therapy

  • Orthopedic Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1760832257
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
38762 Issued in CA
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.