Creative Rehab Technology Services, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

103561 Issued in CA

Legal business name

CREATIVE REHAB TECHNOLOGY SERVICES, INC.

Practice address

320 Trousdale Dr
Unit B
Chula Vista, CA 91910-1069

Phone

(619) 616-2649

Fax

(619) 427-0500

NPI assigned

Jun 26, 2006

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Stephen Protzman

Title

Chief Operations Officer

Phone

(619) 616-2649

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1952338238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TROUSDALE DR",
            "address_2": "UNIT B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101069",
            "telephone_number": "619-616-2649",
            "fax_number": "877-220-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TROUSDALE DR",
            "address_2": "UNIT B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101069",
            "telephone_number": "619-616-2649",
            "fax_number": "619-427-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE REHAB TECHNOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "PROTZMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "619-616-2649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "103561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02752G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cozy Care at Home, LLC
• CR Urgent Care LLC
• Bill Clay Crafton, D.D.S.
• Craig Morgan, DPM, PC
• CRC Health Group
• Ana Creps, PHARM D.
• Tyler Lee Crespo
• Crestwood Behavioral Health, Inc. (Crestwood Chula Vista)
• Livia Catherine Crim, MSW
• Julie Q Criner, MT

• Customized Equipment (DME) in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.