Active NPI
John Poythress, PT
- Physical Therapist
- Newport Beach, CA
National Provider Identifier
1891992327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32530
- Practice address
- 360 San Miguel Dr
301
Newport Beach, CA 92660-7853 - Phone
- (949) 759-0300
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32530 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr
301
Newport Beach, CA 92660-7853
Mailing address
15270 Swallow LN
Westminster, CA 92683-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32530 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891992327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15270 SWALLOW LN",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR",
"address_2": "301",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607853",
"telephone_number": "949-759-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POYTHRESS",
"first_name": "JOHN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.