NPIMap

Organization Active NPI

Newsport Physical Therapy

  • Physical Therapist
  • Corona del Mar, CA
National Provider Identifier
1831258789
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27143 Issued in CA
Legal business name
NEWSPORT PHYSICAL THERAPY
Practice address
2711 E Coast Hwy Ste 206
Corona del Mar, CA 92625-2108
Phone
(949) 675-2922
NPI assigned
Dec 7, 2006
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Claudia O'ConnorNPI 1720157217
Title
Owner
Phone
(949) 675-2922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27143 CA Primary

Addresses

Primary practice location

2711 E Coast Hwy Ste 206
Corona del Mar, CA 92625-2108

Mailing address

2711 E Coast Hwy Ste 206
Corona del Mar, CA 92625-2108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070309000245 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224131396 Receives reassigned benefits from 8 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

2711 E Coast Hwy
Ste 206
Corona del Mar, CA 92625
Phone (949) 675-2922

2290 SE Bristol St
Newport Beach, CA 92660
Phone (949) 261-6101

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1831258789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E COAST HWY STE 206",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E COAST HWY STE 206",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252108",
            "telephone_number": "949-675-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSPORT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-675-2922"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.