West Coast Rehabilitation Specialists Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT36335 Issued in CA

Legal business name

WEST COAST REHABILITATION SPECIALISTS PHYSICAL THERAPY, INC

Practice address

2682 Walnut Ave
Tustin, CA 92780-7006

Phone

(714) 505-3200

Fax

(714) 505-3208

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Brandon Bethke

Title

Operations Manager

Phone

(949) 584-3728

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Cipolla, MPT

  • Physical Therapist
  • Tustin, CA
  • NPI 1720308695
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1801230461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 WALNUT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807006",
            "telephone_number": "714-505-3200",
            "fax_number": "714-505-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 WALNUT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807006",
            "telephone_number": "714-505-3200",
            "fax_number": "714-505-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST REHABILITATION SPECIALISTS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "BETHKE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "949-584-3728"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT36335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle M Weiser, LCSW
• Karen S Welch, MFT
• Marsha Mae Welch, LCSW
• Wellness Care Ventures Sy LLC
• Chris Wendell, D.C.
• Western Youth Services
• Robert Anthony Weyand, PHARMD
• Audrey Catherine Magpantay White
• Sean Whiteley, APCC
• Josephine P. Whitney, MFT

• All providers in Tustin, CA
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.