PREVENTION WELLNESS AND RESTORATIVE SOLUTIONS PHYSICAL THERAPY CORP (NPI# 1437502275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437502275 |
Entity Type | Organization |
Organization Name | PREVENTION WELLNESS AND RESTORATIVE SOLUTIONS PHYSICAL THERAPY CORP |
Other Organization Name | PHYSIOFIXX PHYSICAL THERAPY |
Practice Address |
7290 Navajo Rd Suite 111 San Diego CA 92119-1629 |
Mailing Address |
7429 Stoneview Ct San Diego CA 92119-1212 |
Practice Telephone | 8583429538 |
Mailing Telephone | 8583429538 |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-11-10 |
Authorized Official Name | MS. SANDRA LYNN DANIEL (PHYSICAL THERAPIST, PRESIDENT) |
Authorized Official Telephone | 8583429538 |
Authorized Official Credential | PT, DPT, OCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
25518 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Physiofixx Physical Therapy | Doing Business As Name - Organization |
Street Address |
7290 NAVAJO RD SUITE 111 |
City | SAN DIEGO |
State | CA |
Zip Code | 92119-1629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013993211 | Sandra Lynn Daniel | Physical Therapist | 7290 Navajo Rd, Suite 111, San Diego, CA 92119-1629 | 2005-12-20 |
1598775256 | Steven Glenn Fisher | Psychologist | 7290 Navajo Rd, Suite 212, San Diego, CA 92119-1629 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417462565 | Celena Katherine Wheeler | Behavior Technician | 6965 Golfcrest Dr, San Diego, CA 92119 | 2017-12-12 |
1932437969 | Halyna Yevgenivna West | Internal Medicine | 6280 Jackson Drive, Suite #8, San Diego, CA 92119 | 2009-12-02 |
1346406303 | Marcel T. Bougher, Dds, Inc | Clinic/Center | 6280 Jackson Drive Suite 1, San Diego, CA 92119 | 2008-07-30 |
1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
1154429306 | Zoe Cristina Suciu | Dentist | 7424 Jackson Dr, #6, San Diego, CA 92119 | 2006-09-20 |
1255442448 | Ashley Allen Goodman | Dentist | 8736 Lake Murry Blvd, Ste 108, San Diego, CA 92119 | 2006-08-31 |
1811006067 | Ashley A Goodman Dds A Professional Corporation | Dentist | 8736 Lake Murray Blvd, Ste 108, San Diego, CA 92119 | 2006-08-30 |
1205943495 | Michael Anthony Stefanidis | Dentist | 7424 Jackson Dr #8, San Diego, CA 92119 | 2006-08-24 |
1720003056 | Miranda B Williams | Psychologist | 7290 Navajo Rd Ste 105, San Diego, CA 92119 | 2006-07-13 |
1003301391 | Allen Chung | Optometrist | 8312 Lake Murray Blvd Ste C, San Diego, CA 92119 | 2018-06-28 |
Find all providers in zip 92119 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
1972163426 | Digital Health Physical Therapy Corp | Clinic/Center | 225 Broadway Ste 300, San Diego, CA 92101-5010 | 2019-06-17 |
1750842829 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 16925 Hierba Dr, San Diego, CA 92128-2688 | 2019-03-29 |
1285126599 | Mel's Physical Therapy, Inc. | Clinic/Center | 5621 Dwight St, San Diego, CA 92105-3843 | 2018-06-01 |
1215424213 | New Phyzio Physical Therapy, PC | Clinic/Center | 10801 Thornmint Rd Ste 250, San Diego, CA 92127-2421 | 2018-04-16 |
1578082319 | Therapy South, PC | Clinic/Center | 4850 Coronado Ave, San Diego, CA 92107-3316 | 2017-09-13 |
1194241679 | Carter Ryan Phillips | Clinic/Center | 3535 General Atomics Ct, San Diego, CA 92121-1140 | 2017-08-16 |
1073968582 | Neurotrace | Clinic/Center | 4611 Virginia Ave, San Diego, CA 92115-4130 | 2016-05-03 |
1639574189 | Functional Capacity Interventions | Clinic/Center | 4947 Twain Ave, San Diego, CA 92120-4217 | 2014-10-27 |
1639573116 | Restoration Physical Therapy | Clinic/Center | 870 Diamond St Apt 105, San Diego, CA 92109-2557 | 2014-10-13 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.