NPIMap

Organization Active NPI

Therapeutic Medxpro, Inc.

Doing business as Theramedx Group

  • Physical Therapist
  • Fontana, CA
National Provider Identifier
1154564789
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28321 Issued in CA
Legal business name
THERAPEUTIC MEDXPRO, INC.
Doing business as
Theramedx Group
Practice address
16689 Foothill Blvd
Suite 106
Fontana, CA 92335-8414
Phone
(909) 528-0776
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Joel M Zamora, P.T.NPI 1750432852
Title
President
Phone
(909) 528-0776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT21422 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT33236 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT28321 CA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT9783 CA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT5549 CA

Addresses

Primary practice location

16689 Foothill Blvd
Suite 106
Fontana, CA 92335-8414

Mailing address

16689 Foothill Blvd
Suite 106
Fontana, CA 92335-8414
Phone (909) 528-0776

Other identifiers 1

IdentifierTypeStateIssuer
PT28321OtherCACALIFORNIA PHYSICAL THERAPY LICENSE

Other names 1

  • Theramedx Group Doing business as

National Provider Directory

National Provider Directory

Locations

16689 Foothill Blvd
Ste 106
Fontana, CA 92335
Phone (909) 528-0776

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1154564789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16689 FOOTHILL BLVD",
            "address_2": "SUITE 106",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358414",
            "telephone_number": "909-528-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16689 FOOTHILL BLVD",
            "address_2": "SUITE 106",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358414",
            "telephone_number": "909-528-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MEDXPRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-528-0776",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21422",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33236",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28321",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9783",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICAL THERAPY LICENSE",
            "identifier": "PT28321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theramedx Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.