Provider Demographics
NPI:1558350041
Name:EVERYONE HAS POTENTIAL, INC
Entity Type:Organization
Organization Name:EVERYONE HAS POTENTIAL, INC
Other - Org Name:PINNACLE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:MY
Authorized Official - Last Name:LAM-SALVAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:949-495-0772
Mailing Address - Street 1:PO BOX 7241
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92607-7241
Mailing Address - Country:US
Mailing Address - Phone:949-495-0772
Mailing Address - Fax:949-495-0772
Practice Address - Street 1:25283 CABOT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5522
Practice Address - Country:US
Practice Address - Phone:949-458-1865
Practice Address - Fax:949-495-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT24025225100000X
CAOT 5614225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW16478Medicare ID - Type UnspecifiedPROVIDER NUMBER