Tower Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24553 Issued in CA

Legal business name

TOWER PHYSICAL THERAPY, INC

Practice address

1801 Colorado Ave
Suite 260
Turlock, CA 95382-2706

Phone

(209) 216-3360

Fax

(209) 216-3365

NPI assigned

Jan 15, 2007

Last updated

Aug 12, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWER PHYSICAL THERAPY, INCAs reported in NPPES

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

Authorized official

Name

Kristen Ann Payne, P.T.NPI 1962553040

Title

Physical Therapist

Phone

(209) 216-3360

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tower Physical Therapy, Inc

  • Physical Therapist
  • Ceres, CA
  • NPI 1194062463

  O20040614000885

  Same enrollment

Tax ID family

Tower Physical Therapy Inc2 organizations share this tax ID, including this one

Part of

Tower Physical Therapy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tower Physical Therapy, Inc

  • Physical Therapist
  • Ceres, CA
  • NPI 1194062463
  NPD tax ID

Locations

Practitioners 8

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.

• Kristen Ann Payne, P.T.

  • Physical Therapist
  • Turlock, CA
  • NPI 1962553040
  NPD Authorized official
• Reyna Buzon, DPT

  • Physical Therapist
  • Turlock, CA
  • NPI 1518614684
  NPD
• Caleb Fontes, DPT

  • Physical Therapist
  • Turlock, CA
  • NPI 1265716765
  NPD
• William Edson Mooneyham III, PT, DPT

  • Physical Therapist
  • Merced, CA
  • NPI 1679015150
  NPD
• Gina Marie Smith, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1912989294
  NPD
• Christopher Harold Stempson, P.T.

  • Physical Therapist
  • Turlock, CA
  • NPI 1033260112
  NPD
• Nicholas Truax, DPT

  • Physical Therapist
  • Turlock, CA
  • NPI 1326862236
  NPD
• Bryan N. Van Vliet, P.T., D.P.T

  • Physical Therapist
  • Turlock, CA
  • NPI 1801179288
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1073664165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "SUITE 260",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822706",
            "telephone_number": "209-216-3360",
            "fax_number": "209-216-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "SUITE 260",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822706",
            "telephone_number": "209-216-3360",
            "fax_number": "209-216-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER PHYSICAL THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWER PHYSICAL THERAPY, INC",
        "enumeration_date": "2007-01-15",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "209-216-3360",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25198",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victor Tran, PHARM.D
• Tranquility Wellness Center
• Ashlee Treece
• Trevor K Irish OD Inc (Monte Vista Optometry)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.