Organization Active NPI

Magdy Sarieldin

Doing business as . E.T. physical therapy

  • Physical Therapist
  • San Dimas, CA
National Provider Identifier
1174718225
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7811 Issued in CA
Legal business name
MAGDY SARIELDIN
Doing business as
. E.T. physical therapy
Practice address
1111 W Covina Blvd Ste 100
San Dimas, CA 91773-3205
Phone
(909) 599-0774
Fax
(909) 599-8169
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Mr. Magdy S. Sarieldin, RPT.NPI 1639109333
Title
Physical Therapist
Phone
(909) 599-0774

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7811 CA Primary

Addresses

Primary practice location

1111 W Covina Blvd Ste 100
San Dimas, CA 91773-3205

Mailing address

1111 W. Covina Blvd
#100
San Dimas, CA 91773
Phone (909) 599-0774

Other names 1

  • . E.T. physical therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1111 W Covina Blvd
Ste 100
San Dimas, CA 91773
Phone (909) 599-0774

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1174718225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W. COVINA BLVD",
            "address_2": "#100",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "909-599-0774",
            "fax_number": "909-599-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W COVINA BLVD STE 100",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733205",
            "telephone_number": "909-599-0774",
            "fax_number": "909-599-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDY SARIELDIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SARIELDIN",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "909-599-0774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "7811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": ". E.T. physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.