Basic Information
| Provider Information | |||||||||
| NPI: | 1750326302 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMPREHENSIVE THERAPY SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5677 OBERLIN DR | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921211740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8584578419 | ||||||||
| FaxNumber: | 8584570670 | ||||||||
| Practice Location | |||||||||
| Address1: | 5677 OBERLIN DR | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921211740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8584578419 | ||||||||
| FaxNumber: | 8584570670 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 01/23/2017 | ||||||||
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| AuthorizedOfficialLastName: | FUREY | ||||||||
| AuthorizedOfficialFirstName: | CINDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8584578419 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | ZZZ56778Z | 01 | CA | BLUESHIELD PROVIDERNUMBER | OTHER | 4497580001 | 01 | CA | MEDICARE DMERC NUMBER | OTHER |