Individual provider Active NPI

Philip Craig Drouet, CEP, CCRP

  • Clinical Exercise Physiologist
  • Ontario, CA
National Provider Identifier
1023745205
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
3110 E Yountville Dr Unit 2
Ontario, CA 91761-3851
Phone
(909) 994-0919
NPI assigned
Aug 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X Primary

Addresses

Primary practice location

3110 E Yountville Dr Unit 2
Ontario, CA 91761-3851

Mailing address

3110 E Yountville Dr Unit 2
Ontario, CA 91761-3851
Phone (909) 994-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1023745205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 E YOUNTVILLE DR UNIT 2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613851",
            "telephone_number": "909-994-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 E YOUNTVILLE DR UNIT 2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613851",
            "telephone_number": "909-994-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUET",
        "first_name": "PHILIP",
        "middle_name": "CRAIG",
        "credential": "CEP, CCRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.