Organization Active NPI

Club Sportif and Spa

Doing business as none

  • Physical Therapy Clinic/Center
  • Pasadena, CA
National Provider Identifier
1922386762
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CLUB SPORTIF AND SPA
Doing business as
none
Practice address
780 S Arroyo Pkwy
Pasadena, CA 91105-3232
Phone
(626) 844-6458
NPI assigned
Jul 27, 2011
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Mrs. Sylviane Sylvie Chapoulaud
Title
Owner
Phone
(626) 844-6458

Specialties & licenses 1

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

Addresses

Primary practice location

780 S Arroyo Pkwy
Pasadena, CA 91105-3232

Mailing address

780 S Arroyo Pkwy
Pasadena, CA 91105-3232
Phone (626) 844-6458

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

780 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 844-6458

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1922386762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053232",
            "telephone_number": "626-844-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053232",
            "telephone_number": "626-844-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB SPORTIF AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "CHAPOULAUD",
        "authorized_official_first_name": "SYLVIANE",
        "authorized_official_middle_name": "SYLVIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-844-6458",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.