Registered Physical Therapy Providers, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

225100000X Issued in CA

Legal business name

REGISTERED PHYSICAL THERAPY PROVIDERS, INC.

Practice address

26571 St. Hwy 18
Suite B
Rimforest, CA 92378-0010

Phone

(909) 337-4192

Fax

(909) 336-1982

NPI assigned

Dec 5, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

REGISTERED PHYSICAL THERAPY PROVIDERS, INC.As reported in NPPES

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

Authorized official

Name

Mr. C. Spencer Beeman, P.T.NPI 1124186929

Title

President

Phone

(909) 337-4192

Specialties & licenses 1

Addresses

Other names 1

• Blue Jay Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Registered Physical Therapy Providers Inc

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.

• C. Spencer Beeman, P.T.

  • Physical Therapist
  • Rimforest, CA
  • NPI 1124186929
  Medicare reassignment NPD Authorized official
• Della Rose Utt, P.T.

  • Physical Therapist
  • Rimforest, CA
  • NPI 1760542989
  NPD
• Alexandria Lorraine Derry

  • Physical Therapy Assistant
  • Rimforest, CA
  • NPI 1831913920
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1093873887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923170784",
            "telephone_number": "909-337-4192",
            "fax_number": "909-336-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26571 ST. HWY 18",
            "address_2": "SUITE B",
            "city": "RIMFOREST",
            "state": "CA",
            "postal_code": "923780010",
            "telephone_number": "909-337-4192",
            "fax_number": "909-336-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGISTERED PHYSICAL THERAPY PROVIDERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGISTERED PHYSICAL THERAPY PROVIDERS, INC.",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-337-4192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Jay Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Cristina Barrios Villa
• C. Spencer Beeman, P.T.
• Sandra Thomspon Chetelat, P.T.
• Alexandria Lorraine Derry
• Rialto Medical Supplies, Inc.
• Della Rose Utt, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.