Provider Demographics
NPI:1821124132
Name:CENTER FOR PHYSICALL THERAPY & EXERCISE
Entity Type:Organization
Organization Name:CENTER FOR PHYSICALL THERAPY & EXERCISE
Other - Org Name:ORTHOPEDIC SURGERY ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICAL THERAPIST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:858-674-1600
Mailing Address - Street 1:15525 POMERADO RD STE D4
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2426
Mailing Address - Country:US
Mailing Address - Phone:858-674-1600
Mailing Address - Fax:858-674-1606
Practice Address - Street 1:15525 POMERADO RD STE D4
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2426
Practice Address - Country:US
Practice Address - Phone:858-674-1600
Practice Address - Fax:858-674-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty