Active NPI
Digital Health Physical Therapy Corp
- Physical Therapy Clinic/Center
- San Diego, CA
National Provider Identifier
1972163426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- DIGITAL HEALTH PHYSICAL THERAPY CORP
- Practice address
- 225 Broadway Ste 300
San Diego, CA 92101-5010 - Phone
- (619) 566-7802
- NPI assigned
- Jun 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Mirisch, PT, DPT
- Title
- Owner
- Phone
- (805) 427-5495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
225 Broadway Ste 300
San Diego, CA 92101-5010
Mailing address
225 Broadway Ste 300
San Diego, CA 92101-5010
Phone (619) 566-7802
Other names 1
- Digital Home Therapy
National Provider Directory
National Provider DirectoryLocations
225 Broadway
Ste 300
San Diego, CA 92101
Phone (619) 566-7802
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Arcadia, CA
- NPI 1285678573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560729600000",
"number": "1972163426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BROADWAY STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015010",
"telephone_number": "619-566-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BROADWAY STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015010",
"telephone_number": "619-566-7802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITAL HEALTH PHYSICAL THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A",
"authorized_official_last_name": "MIRISCH",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-427-5495",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Digital Home Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.