NPIMap

Organization Active NPI

Spirit Winds Therapy

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1841303948
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20078 Issued in CA
Legal business name
SPIRIT WINDS THERAPY
Practice address
1422 Monterey St
Suite C-102
San Luis Obispo, CA 93401-2944
Phone
(805) 543-5100
Fax
(805) 543-5106
NPI assigned
Aug 16, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Ms. Michele S Jang, PTNPI 1932125028
Title
Owner/Physical Therapist
Phone
(805) 543-5100

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
Physical Therapist 225100000X PT20078 CA Primary

Addresses

Primary practice location

1422 Monterey St
Suite C-102
San Luis Obispo, CA 93401-2944

Mailing address

1422 Monterey St
Suite C-102
San Luis Obispo, CA 93401-2944
Phone (805) 543-5100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1841303948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 MONTEREY ST",
            "address_2": "SUITE C-102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012944",
            "telephone_number": "805-543-5100",
            "fax_number": "805-543-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 MONTEREY ST",
            "address_2": "SUITE C-102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012944",
            "telephone_number": "805-543-5100",
            "fax_number": "805-543-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT WINDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-543-5100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.