Physio Kai Sports Performance & Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIO KAI SPORTS PERFORMANCE & PHYSICAL THERAPY

Practice address

1827 Redfield Rd
Riverside, CA 92507-7817

Phone

(760) 879-9716

Fax

(951) 261-5474

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Sofia Natalia Vizcarra, DPTNPI 1477287258

Title

Ceo

Phone

(760) 879-9716

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sofia Natalia Vizcarra, DPT

  • Physical Therapist
  • Beaumont, CA
  • NPI 1477287258
  NPD Authorized official

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1982395968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 CANYON SPRINGS PKWY STE I",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070951",
            "fax_number": "951-261-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 REDFIELD RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077817",
            "telephone_number": "760-879-9716",
            "fax_number": "951-261-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO KAI SPORTS PERFORMANCE & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "VIZCARRA",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "NATALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-879-9716",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Nguyet Phun
• Diane Phung
• Phuong C. Huynh, DDS, Inc.
• Physician Management Services of California, LLC
• Physician Partners Medical Group Inc
• Gary Piascik, MFTI
• Kimberly Picasso
• Cristian Picazo
• Diana Picazo
• Picc Line Access Inc

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.