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BLUE SKIES PHYSICAL THERAPY NPI 1750975140


NPI Information

NPI: 1750975140
Provider Name: BLUE SKIES PHYSICAL THERAPY
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
20701 CEREAL ST
SKYDIVE ELSINORE, TEAM ROOM 8
LAKE ELSINORE, CA
ZIP 92530
Phone: (702) 904-0178
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BLUE SKIES PHYSICAL THERAPY is a sports physical therapist in Lake Elsinore, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. BLUE SKIES PHYSICAL THERAPY NPI is 1750975140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20701 CEREAL ST
SKYDIVE ELSINORE, TEAM ROOM 8
LAKE ELSINORE, CA
ZIP 92530-253
Phone: (702) 904-0178

The provider's authorized official is Nancy N Grieger .
The authorized official title is Owner, Physical Therapist, Emt-b and has the following contact phone number (702) 904-0178.

The enumeration date for this NPI number is 2/25/2021 and was last updated on 2/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedicNo
2146N00000XEmergency Medical Technician, BasicNo
32251S0007XPhysical TherapistSportsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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