Danceprehab Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DANCEPREHAB PHYSICAL THERAPY, P.C.

Practice address

74 Icon
Lake Forest, CA 92610-3000

Phone

(909) 542-8388

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Noel Santayana, PT, DPT

Title

Coo

Phone

(909) 542-8388

Specialties & licenses 2

Addresses

Other names 1

• PHYSical Therapy - OC Doing business as

Tax ID family

Danceprehab Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Danceprehab Physical Therapy, P.C.

  • Physical Therapist
  • Irvine, CA
  • NPI 1801457551
  NPD tax ID

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1962097725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR STE 900-256",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184962",
            "telephone_number": "949-800-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ICON",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926103000",
            "telephone_number": "909-542-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANCEPREHAB PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "SANTAYANA",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-542-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSical Therapy - OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.