NPIMap

Organization Active NPI

Physical Therapy of Newport, Inc.

  • Physical Therapy Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1841330701
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 24789 Issued in CA
Legal business name
PHYSICAL THERAPY OF NEWPORT, INC.
Practice address
747 Dover Dr
Newport Beach, CA 92663-6927
Phone
(949) 673-2893
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mr. Gabor RaffayNPI 1851589402
Title
President
Phone
(949) 673-2893

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 Therapy Clinic/Center 261QP2000X PT 24789 CA Primary

Addresses

Primary practice location

747 Dover Dr
Newport Beach, CA 92663-6927

Mailing address

747 Dover Dr
Newport Beach, CA 92663-6927
Phone (949) 673-2893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000899 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496914210 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

747 Dover Dr
Newport Beach, CA 92663
Phone (714) 335-3182

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1841330701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 DOVER DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636927",
            "telephone_number": "949-673-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 DOVER DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636927",
            "telephone_number": "949-673-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF NEWPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "RAFFAY",
        "authorized_official_first_name": "GABOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-673-2893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 24789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.