Organization Active NPI

Kidspiration Physical Therapy, Inc.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1902063068
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28219 Issued in CA
Legal business name
KIDSPIRATION PHYSICAL THERAPY, INC.
Practice address
12460 Caminito Mira del Mar
San Diego, CA 92130-2368
Phone
(619) 804-1630
Fax
(858) 217-4139
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Ms. Michele Rooney, MS, PTNPI 1659538718
Title
President
Phone
(619) 804-1630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 28219 CA Primary

Addresses

Primary practice location

12460 Caminito Mira del Mar
San Diego, CA 92130-2368

Mailing address

12460 Caminito Mira del Mar
San Diego, CA 92130-2368
Phone (619) 804-1630

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1902063068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 CAMINITO MIRA DEL MAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302368",
            "telephone_number": "619-804-1630",
            "fax_number": "858-217-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 CAMINITO MIRA DEL MAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302368",
            "telephone_number": "619-804-1630",
            "fax_number": "858-217-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPIRATION PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-804-1630",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.