Organization Active NPI

Prudent Care Management, Inc.

Doing business as Sprint Physical Therapy

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1780881706
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRUDENT CARE MANAGEMENT, INC.
Doing business as
Sprint Physical Therapy
Practice address
12832 Garden Grove Blvd.
Suite a
Garden Grove, CA 92843-1737
Phone
(714) 534-1100
Fax
(714) 534-1140
NPI assigned
Jul 2, 2007
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Karen A Tafreshi, D.C.
Title
Ceo
Phone
(714) 534-1100

Specialties & licenses 1

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

Addresses

Primary practice location

12832 Garden Grove Blvd.
Suite a
Garden Grove, CA 92843-1737

Mailing address

12832 Garden Grove Blvd.
Suite a
Garden Grove, CA 92843-1737
Phone (714) 534-1100

Other names 1

  • Sprint Physical Therapy 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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1780881706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD.",
            "address_2": "SUITE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "714-534-1100",
            "fax_number": "714-534-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD.",
            "address_2": "SUITE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "714-534-1100",
            "fax_number": "714-534-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-534-1100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprint Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.