Tip Top Shape Wellness Fitness and Physical Therapy Foundation Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

32295 Issued in CA

Legal business name

TIP TOP SHAPE WELLNESS FITNESS AND PHYSICAL THERAPY FOUNDATION INC

Practice address

50 Penny LN
Watsonville, CA 95076-3079

Phone

(888) 538-3828

NPI assigned

Nov 13, 2011

Last updated

Nov 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Annaval Dacanay Villafuerte, PT, GCS, CLT, WCCNPI 1982867784

Title

Chief Operating Officer

Phone

(888) 538-3828

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Annaval Dacanay Villafuerte, PT

  • Physical Therapist
  • Chatsworth, CA
  • NPI 1982867784
  NPD (past) Authorized official

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

{
    "created_epoch": "1321142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321142400000",
    "number": "1841577210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PENNY LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "888-538-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PENNY LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "888-538-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIP TOP SHAPE WELLNESS FITNESS AND PHYSICAL THERAPY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-13",
        "last_updated": "2011-11-13",
        "status": "A",
        "authorized_official_last_name": "VILLAFUERTE",
        "authorized_official_first_name": "ANNAVAL",
        "authorized_official_middle_name": "DACANAY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "888-538-3828",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, GCS, CLT, WCC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "32295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Tellez
• Bertha Maria Tenorio
• Jonathan Tepper, M.D., PH.D.
• Jacqueline Anne Thompson, RD, CDE
• Elizabeth Thorne, RN
• Joshua Daniel Toback, M.A.
• Marilyn Todd
• Bosiljka Nadia Tokic-Polak, MA, MFT
• Reyna Toledo
• Sandy Tamara Tonche

• Physical Therapy Clinic/Center in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.