NPIMap

Organization Active NPI

Porterville Physical Therapy Sports & Orthopedics

  • Physical Therapist
  • Porterville, CA
National Provider Identifier
1003816547
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14678 Issued in CA
Legal business name
PORTERVILLE PHYSICAL THERAPY SPORTS & ORTHOPEDICS
Practice address
112 N D St
Porterville, CA 93257-3621
Phone
(559) 783-0515
Fax
(559) 783-0516
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chris Scott Lewis, RPT
Title
Owner/Partner
Phone
(859) 783-0515

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT14678 CA Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT14613 CA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT25023 CA

Addresses

Primary practice location

112 N D St
Porterville, CA 93257-3621

Mailing address

112 N D St
Porterville, CA 93257-3621
Phone (559) 783-0515

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ34847ZOtherBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

112 N D St
Porterville, CA 93257
Phone (559) 783-0515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1003816547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N D ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573621",
            "telephone_number": "559-783-0515",
            "fax_number": "559-783-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N D ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573621",
            "telephone_number": "559-783-0515",
            "fax_number": "559-783-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERVILLE PHYSICAL THERAPY SPORTS & ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "859-783-0515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14678",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14613",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ34847Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.