Organization Active NPI

Arroyo Grande Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1861876807
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
AT 3833 Issued in CA
Legal business name
ARROYO GRANDE PHYSICAL THERAPY, INC
Practice address
117 S Halcyon Rd
Arroyo Grande, CA 93420-3115
Phone
(805) 481-5656
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Cynthia Coesterwhalls
Title
Pta
Phone
(805) 748-7693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X AT 3833 CA Primary

Addresses

Primary practice location

117 S Halcyon Rd
Arroyo Grande, CA 93420-3115

Mailing address

520 Carmella Dr
Arroyo Grande, CA 93420-3712
Phone (805) 748-7693

National Provider Directory

National Provider Directory
Tax ID family
Agpt Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1861876807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CARMELLA DR",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203712",
            "telephone_number": "805-748-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203115",
            "telephone_number": "805-481-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROYO GRANDE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "COESTERWHALLS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "805-748-7693"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "AT 3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.