Spectrum Therapy and Sports Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT33089 Issued in CA

Legal business name

SPECTRUM THERAPY AND SPORTS PERFORMANCE

Practice address

16 Technology Dr Ste 169
Irvine, CA 92618-2328

Phone

(949) 595-0700

Fax

(949) 595-0797

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marc Larson, RPTNPI 1093939761

Title

Owner

Phone

(949) 595-0700

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc S Larson, PT

  • Physical Therapist
  • Kapolei, HI
  • NPI 1093939761
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1912108572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY DR STE 169",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182328",
            "telephone_number": "949-595-0700",
            "fax_number": "949-595-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY DR STE 169",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182328",
            "telephone_number": "949-595-0700",
            "fax_number": "949-595-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY AND SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-595-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT33089",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT24951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Surgical Center of Irvine LP
• Rafael Speck, LMFT
• Spectrum Internal Medicine Associates, Inc. a Professional Corporation
• Spectrum Pharmacy
• Spectrum Therapy and Sports Medicine
• Speech & Motion, Inc
• Speech Link Inc
• Speech Pathology Associates
• Speech Point Therapy Inc.
• Speech Therapy With Amy Inc

• All providers in Irvine, CA
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.