Organization Active NPI

Strides Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
National Provider Identifier
1770728842
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT25408 Issued in CA
Legal business name
STRIDES PHYSICAL THERAPY, INC.
Practice address
323 Via de Vis
Solana Beach, CA 92075-2030
Phone
(858) 442-1094
Fax
(858) 876-1556
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Wendi Wade McKenna, DPT, PCS
Title
President/Owner
Phone
(858) 442-1094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT25408 CA Primary

Addresses

Primary practice location

323 Via de Vis
Solana Beach, CA 92075-2030

Mailing address

323 Via de Vis
Solana Beach, CA 92075-2030
Phone (858) 442-1094

Other names 1

  • Elevate Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1770728842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 VIA DE VIS",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752030",
            "telephone_number": "858-442-1094",
            "fax_number": "858-876-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 VIA DE VIS",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752030",
            "telephone_number": "858-442-1094",
            "fax_number": "858-876-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "858-442-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT25408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.