NPIMap

Organization Active NPI

Pacific Therapeutic Services Inc

Doing business as Pacific Therapeutics

  • Rehabilitation Practitioner
  • Laguna Hills, CA
National Provider Identifier
1962497214
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
PACIFIC THERAPEUTIC SERVICES INC
Doing business as
Pacific Therapeutics
Practice address
23232 Peralta Dr
Suite 113
Laguna Hills, CA 92653-1443
Phone
(949) 922-2776
Fax
(949) 497-3499
NPI assigned
Sep 13, 2005
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Thad Brown
Title
President/Secretary
Phone
(949) 922-2776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X CA Primary

Addresses

Primary practice location

23232 Peralta Dr
Suite 113
Laguna Hills, CA 92653-1443

Mailing address

23232 Peralta Dr
Suite 113
Laguna Hills, CA 92653-1443
Phone (949) 922-2776

Other names 1

  • Pacific Therapeutics Doing business as

National Provider Directory

National Provider Directory

Locations

23232 Peralta Dr
Ste 113
Laguna Hills, CA 92653
Phone (949) 922-2776

23232 Peralta Dr
Ste 120
Laguna Hills, CA 92653
Phone (949) 929-5092

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1962497214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 113",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-922-2776",
            "fax_number": "949-497-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 113",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-922-2776",
            "fax_number": "949-497-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THAD",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "949-922-2776"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.