Organization Active NPI

Therapeutic Health Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Chula Vista, CA
National Provider Identifier
1790996304
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
B20030226685 Issued in CA
Legal business name
THERAPEUTIC HEALTH INC.
Practice address
1337 Blue Sage Way
Chula Vista, CA 91915-1616
Phone
(619) 398-6990
Fax
(619) 754-6907
NPI assigned
May 25, 2007
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Marissa Agatha Sheppard, OTRLNPI 1063613313
Title
President
Phone
(619) 398-6990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X B20030226685 CA Primary

Addresses

Primary practice location

1337 Blue Sage Way
Chula Vista, CA 91915-1616

Mailing address

1337 Blue Sage Way
Chula Vista, CA 91915-1616
Phone (619) 398-6990

National Provider Directory

National Provider Directory

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1790996304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 BLUE SAGE WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151616",
            "telephone_number": "619-398-6990",
            "fax_number": "619-754-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 BLUE SAGE WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151616",
            "telephone_number": "619-398-6990",
            "fax_number": "619-754-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "AGATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-398-6990",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "B20030226685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.