South County Aquatic & Physical Therapy Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22810 Issued in CA

Legal business name

SOUTH COUNTY AQUATIC & PHYSICAL THERAPY CENTER, INC.

Practice address

27882 Forbes Rd # 100
Laguna Niguel, CA 92677-1219

Phone

(949) 364-6888

Fax

(949) 364-6333

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Jordan Jesse Turner, P.T.

Title

President

Phone

(949) 364-6888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891726840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD # 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771219",
            "telephone_number": "949-364-6888",
            "fax_number": "949-364-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD # 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771219",
            "telephone_number": "949-364-6888",
            "fax_number": "949-364-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY AQUATIC & PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-6888",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.