SPARK45 FITNESS AND PHYSICAL THERAPY PC
NPI 1003281312
Clinic/Center - Physical Therapy in Carpinteria, CA

Active since December 11, 2015
550 MAPLE ST, B, CARPINTERIA, CA 93013(805) 275-3000 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2016, Dec 11, 2015 (2 updates tracked since 2015).

About Spark45 Fitness And Physical Therapy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK45 FITNESS AND PHYSICAL THERAPY PC (NPI 1003281312) is a healthcare organization registered as a physical therapy in Carpinteria, California and active in the NPI registry since December 2015. The organization lists Danielle Bordenave, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1003281312
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSPARK45 FITNESS AND PHYSICAL THERAPY PC
Location Address550 MAPLE ST, BCarpinteria, CA 93013-3559
Mailing Address550 Maple St, BCarpinteria, CA 93013-3559 · (805) 275-3000
Organization SubpartNo
Authorized OfficialDanielle BordenaveOwner/ceo · (773) 623-9527
Enumeration DateDecember 11, 2015
Last NPPES UpdateFebruary 12, 20162 updates tracked since enumeration
✔ NPI 1003281312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in CA · 42251
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
550 MAPLE ST, Carpinteria, CA 93013

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spark45 Fitness And Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spark45 Fitness And Physical Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1821203597
550 MAPLE ST B
Carpinteria, CA 93013
(805) 275-3000
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spark45 Fitness And Physical Therapy PC's NPI number?

The NPI number for Spark45 Fitness And Physical Therapy PC is 1003281312. It was assigned to this organization in the NPPES registry on December 11, 2015.

Where is Spark45 Fitness And Physical Therapy PC located?

Spark45 Fitness And Physical Therapy PC is located at 550 Maple St B, Carpinteria, CA 93013. The listed phone number is (805) 275-3000.

What is Spark45 Fitness And Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Spark45 Fitness And Physical Therapy PC enrolled in Medicare?

Yes. Spark45 Fitness And Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spark45 Fitness And Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Spark45 Fitness And Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spark45 Fitness And Physical Therapy PC was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.