Individual provider Active NPI

Timothy Jon Terrio, P.T.

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1043478126
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19119 Issued in CA
Practice address
11206 Olive Dr
Bakersfield, CA 93312-5846
Phone
(661) 377-1700
Fax
(661) 616-9199
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19119 CA Primary

Addresses

Primary practice location

11206 Olive Dr
Bakersfield, CA 93312-5846

Mailing address

3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514
Phone (661) 873-7975

Other practice location 1

2838 Oswell St
Bakersfield, CA 93306-2704
Phone (661) 377-1700

Other identifiers 2

IdentifierTypeStateIssuer
133052274OtherCABLUE CROSS OF CA
193518600OtherCAUS DEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000853 CA Practitioner - Physical Therapist in Private Practice 6709867914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Terrio Therapy-Fitness, Inc. Physical Therapist CurrentSince May 9, 2001 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

3400 Calloway Dr
Ste 603
Bakersfield, CA 93312

7737 Meany Ave
Ste B5
Bakersfield, CA 93308
Phone (661) 829-1150

1800 Westwind Dr
Ste 500
Bakersfield, CA 93301
Phone (661) 322-9411

2838 Oswell St
Bakersfield, CA 93306
Phone (661) 873-7100

11206 Olive Dr
Bakersfield, CA 93312

13019 Stockdale Hwy
Unit 500
Bakersfield, CA 93314

11206 Olive Dr
Ste 102
Bakersfield, CA 93312

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

7900 District Blvd
Unit A
Bakersfield, CA 93313
Phone (661) 873-7975

1430 High St
Delano, CA 93215
Phone (661) 725-4614

815 Tucker Rd
Ste C
Tehachapi, CA 93561
Phone (661) 616-1700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1043478126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 603",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122514",
            "telephone_number": "661-873-7975",
            "fax_number": "661-616-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 OLIVE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125846",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2838 Oswell St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933062704",
            "country_code": "US",
            "telephone_number": "661-377-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRIO",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "133052274",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "193518600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.