Bakersfield Community Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BAKERSFIELD COMMUNITY PHYSICAL THERAPY

Practice address

1811 Oak St Ste 150
Bakersfield, CA 93301-3064

Phone

(661) 348-4005

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

David Dermenjian

Title

Ceo

Phone

(818) 400-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1083236590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 OAK ST STE 155",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 OAK ST STE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013064",
            "telephone_number": "661-348-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD COMMUNITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "DERMENJIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-400-2300"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823204717",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bakersfield Center for Women'S Health
• Bakersfield City School District
• Bakersfield Commons Surgical Center, LLC
• Bakersfield Community Health Center, Inc.
• Bakersfield Community Hospice, Inc.
• Bakersfield Dermatology and Skin Cancer PC
• Bakersfield Dialysis Center Med GRP
• Bakersfield Digital Dental Corporation
• Bakersfield Drug Company Inc.
• Bakersfield Emergency Medical Corp.

• Physical Therapy Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, 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 May 7, 2020; 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.