Palm Desert Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29635 Issued in CA

Legal business name

PALM DESERT PHYSICAL THERAPY, INC.

Practice address

77622 Country Club Dr
Ste G
Palm Desert, CA 92211

Phone

(760) 345-3087

Fax

(760) 345-6852

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Zuniga, PT

Title

President

Phone

(760) 345-3087

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• John Logan Fox, MPT

  • Physical Therapist
  • S Pasadena, CA
  • NPI 1528163136
  NPD (past)
• Stephanie C Rehe, MPT, DPT, ATC

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1073610036
  NPD (past)
• William Whitman, P. T.

  • Physical Therapist
  • Idyllwild, CA
  • NPI 1356429989
  NPD (past)
• Robert E Tutland, RPT

  • Physical Therapist
  • Bellevue, WA
  • NPI 1073687729
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1164581997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77622 COUNTRY CLUB DR STE G",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110447",
            "telephone_number": "760-345-3087",
            "fax_number": "760-345-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77622 COUNTRY CLUB DR",
            "address_2": "STE G",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-345-3087",
            "fax_number": "760-345-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DESERT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-345-3087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ65614Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain and Spine Center of the Desert Inc.
• Sergio Steven Palafox, OD
• Palm Desert Community Healthcare, LLC
• Palm Desert Pediatrics Inc
• Palm Desert Pharmacy Inc
• Palm Desert Psychiatry Inc
• Palm Desert Recovery Center, Inc.
• Palm Desert Surgery Center, a Medical Corporation
• Palm Springs Home Health Services Inc.
• Palm Valley Surgical Center, Inc

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, 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 6, 2018; 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.