Active NPI
Andrew Solis
- Physical Therapy Assistant
- Dana Point, CA
National Provider Identifier
1811754682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA6115
- Practice address
- 34241 Pacific Coast Hwy Ste 102
Dana Point, CA 92629-3845 - Phone
- (949) 496-3896
- NPI assigned
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA6115 | CA | Primary |
Addresses
Primary practice location
34241 Pacific Coast Hwy Ste 102
Dana Point, CA 92629-3845
Mailing address
34241 Pacific Coast Hwy Ste 102
Dana Point, CA 92629-3845
Phone (949) 496-3896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA6115 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Point Physical Therapy and Rehabilitation, Inc. | Current | Accepting new patients |
Locations
34241 Pacific Coast Hwy
Ste 102
Dana Point, CA 92629
Phone (949) 496-3896
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Dana Point, CA
- NPI 1861424194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1811754682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34241 PACIFIC COAST HWY STE 102",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293845",
"telephone_number": "949-496-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34241 PACIFIC COAST HWY STE 102",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293845",
"telephone_number": "949-496-3896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIS",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA6115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.