John Robert Waite, PT DPT OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16820 Issued in CA

Practice address

25495 Medical Center Dr Ste 304
Murrieta, CA 92562-4904

Phone

(951) 696-7474

Fax

(951) 696-7575

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1063496289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26383 ABELIA ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624458",
            "telephone_number": "951-514-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR STE 304",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624904",
            "telephone_number": "951-696-7474",
            "fax_number": "951-696-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "PT DPT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "16820",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "16820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01284430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon Vu, PHARMD
• Ronald Vuong, M.D.
• Samuel Waddoups, D.D.S.
• Amelie C Wagner, MD
• Katie Wagner
• Jessica Wakelin, MS
• Tiffani Ann Walden
• Cortney Waldron
• Walgreen Co (Walgreens #09884)
• Walgreen Co (Walgreens #01995)

• Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.