Organization Active NPI

Danceprehab Physical Therapy, P.C.

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1801457551
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DANCEPREHAB PHYSICAL THERAPY, P.C.
Doing business as
PHYSical Therapy - OC
Practice address
100 Spectrum Center Dr Ste 900-256
Irvine, CA 92618-4962
Phone
(949) 954-0090
Fax
(949) 988-0287
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Noel Medenilla Santayana, PT, DPT
Title
Coo
Phone
(949) 954-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X

Addresses

Primary practice location

100 Spectrum Center Dr Ste 900-256
Irvine, CA 92618-4962

Mailing address

100 Spectrum Center Dr Ste 900-256
Irvine, CA 92618-4962
Phone (949) 954-0090

Other names 1

  • PHYSical Therapy - OC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Danceprehab Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1801457551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR STE 900-256",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184962",
            "telephone_number": "949-954-0090",
            "fax_number": "949-988-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR STE 900-256",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184962",
            "telephone_number": "949-954-0090",
            "fax_number": "949-988-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCEPREHAB PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "SANTAYANA",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "MEDENILLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-954-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSical Therapy - OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.