1174508253 NPI number — MRS. MARY JOANN NOSEK PT

Table of content: MRS. MARY JOANN NOSEK PT (NPI 1174508253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174508253 NPI number — MRS. MARY JOANN NOSEK PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOSEK
Provider First Name:
MARY
Provider Middle Name:
JOANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174508253
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26941 CABOT RD
Provider Second Line Business Mailing Address:
STE 125
Provider Business Mailing Address City Name:
LAGUNA HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92653
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-273-6766
Provider Business Mailing Address Fax Number:
949-273-6765

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26941 CABOT RD STE 125
Provider Second Line Business Practice Location Address:
NOSEK & ASSOCIATES PHYSICAL THERAPY INC
Provider Business Practice Location Address City Name:
LAGUNA HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-273-6766
Provider Business Practice Location Address Fax Number:
949-273-6765
Provider Enumeration Date:
12/12/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  PT23314 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 225100000X , with the licence number: PT23314 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)