Organization Active NPI

Phase Three Physical Therapy

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1851346233
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13491 Issued in CA
Legal business name
PHASE THREE PHYSICAL THERAPY
Practice address
4622 E la Palma Ave
Anaheim, CA 92807-1910
Phone
(714) 779-6969
Fax
(714) 779-6966
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Mr. Bryan Keith Hoppe, PT
Title
Ceo
Phone
(714) 779-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 13491 CA Primary

Addresses

Primary practice location

4622 E la Palma Ave
Anaheim, CA 92807-1910

Mailing address

4622 E la Palma Ave
Anaheim, CA 92807-1910
Phone (714) 779-6969

National Provider Directory

National Provider Directory

Locations

5140 E La Palma Ave
Ste 103
Anaheim, CA 92807
Phone (714) 779-6969

4622 E La Palma Ave
Anaheim, CA 92807
Phone (714) 779-6969

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1851346233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071910",
            "telephone_number": "714-779-6969",
            "fax_number": "714-779-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071910",
            "telephone_number": "714-779-6969",
            "fax_number": "714-779-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE THREE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPPE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-779-6969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "13491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.