Pacific Water Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14508 Issued in CA

Legal business name

PACIFIC WATER THERAPY

Practice address

3156 Sports Arena Blvd.
Suite 104
San Diego, CA 92110

Phone

(619) 523-6767

Fax

(619) 523-6769

NPI assigned

Dec 11, 2006

Last updated

Dec 21, 2016By 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

Donna Jean Swisher, PTNPI 1457411316

Title

Owner

Phone

(619) 523-6767

Specialties & licenses 1

Addresses

Locations

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.

• Donna Jean Swisher, P.T.

  • Physical Therapist
  • San Diego, CA
  • NPI 1457411316
  Authorized official Same address or phone

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1851451710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 MACAULAY STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "619-523-6767",
            "fax_number": "619-523-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 SPORTS ARENA BLVD.",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "619-523-6767",
            "fax_number": "619-523-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WATER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-523-6767",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Sleep Medicine Services, Inc
• Pacific Sleep Medicine Services, Inc (CardioSom)
• Pacific Sleep Medicine, a Medical Corporation
• Pacific Surgical Institute of Pain Management
• Pacific Surgical Institute of Pain Management Inc
• Pacific Wellness Chiropractic
• Pacifica Health and Medical
• Pacifica SL Penasquitos LP (Pacifica Senior Living Rancho Penasquitos)
• Noah Seiya Pacis
• Anthony J Pacitto

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.