Petrichor Physical Therapy a Professional Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PETRICHOR PHYSICAL THERAPY A PROFESSIONAL CORPORATION

Practice address

9681 Business Center Dr Ste C
Rancho Cucamonga, CA 91730-4579

Phone

(626) 483-8945

NPI assigned

May 10, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Lorenz DelacruzportugalNPI 1144815689

Title

Physical Therapist

Phone

(626) 483-8945

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Delacruzportugal

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1144815689

  Physical Therapy

  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1033809389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9681 BUSINESS CENTER DR STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9681 BUSINESS CENTER DR STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304579",
            "telephone_number": "626-483-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRICHOR PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "DELACRUZPORTUGAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LORENZ",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "626-483-8945"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bjoern Paolo Petersen
• Natalia Petersen
• Jeraleen M. Peterson, LCSW
• Miles Ellis Peterson, PHD
• Vanessa Noel Browne Peterson, DDS, MS
• Arezou Petrie, RPH
• Louis Petrie, PHARM.D
• Marques Tyrell Pettaway
• Nisherah Laebony Pettaway
• Emilie Pfaender

• Physical Therapy Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.