NPIMap

Organization Active NPI

Bernadette Woods

Doing business as Rejuvenation Physical Therapy

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1043405434
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
BL00129777 Issued in CA
Legal business name
BERNADETTE WOODS
Doing business as
Rejuvenation Physical Therapy
Practice address
6529 Riverside Ave
Suite 140
Riverside, CA 92506-3122
Phone
(951) 275-5044
Fax
(951) 275-5045
NPI assigned
Sep 10, 2007
Last updated
Nov 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Bernadette WoodsNPI 1710181326
Title
Owner
Phone
(951) 275-5044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X BL00129777 CA Primary

Addresses

Primary practice location

6529 Riverside Ave
Suite 140
Riverside, CA 92506-3122

Mailing address

6529 Riverside Ave
Suite 140
Riverside, CA 92506-3122
Phone (951) 275-5044

Other names 1

  • Rejuvenation Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6529 Riverside Ave
Ste 140
Riverside, CA 92506
Phone (951) 275-5044

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1043405434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 RIVERSIDE AVE",
            "address_2": "SUITE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063122",
            "telephone_number": "951-275-5044",
            "fax_number": "951-275-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 RIVERSIDE AVE",
            "address_2": "SUITE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063122",
            "telephone_number": "951-275-5044",
            "fax_number": "951-275-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE WOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-275-5044"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "BL00129777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenation Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.