Individual provider Active NPI

Allyson Anunciado

  • Orthopedic Physical Therapist
  • San Bernardino, CA
National Provider Identifier
1124880232
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
305466 Issued in CA
Practice address
275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238
Phone
(909) 567-2221
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 305466 CA Primary

Addresses

Primary practice location

275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238

Mailing address

11468 Loma Linda Dr
Loma Linda, CA 92354-3744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229002160 CA Practitioner - Physical Therapist in Private Practice 2860837853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Physical Therapy PC Orthopedic CurrentSince Feb 6, 2024 Accepting new patients

Locations

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469

Organizations & group practices 1

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1124880232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11468 LOMA LINDA DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUNCIADO",
        "first_name": "ALLYSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "305466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.