NPIMap

Organization Active NPI

Mind Body Physical Therapy P.C.

  • Physical Therapist
  • Ridgecrest, CA
National Provider Identifier
1184170995
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38239 Issued in CA
Legal business name
MIND BODY PHYSICAL THERAPY P.C.
Practice address
459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685
Phone
(760) 371-1606
Fax
(760) 264-4405
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Christina Chandra Frohlich
Title
Owner
Phone
(530) 541-7133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 38239 CA Primary

Addresses

Primary practice location

459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685

Mailing address

459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685
Phone (530) 314-3971

Other names 1

  • Ridgecrest Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2877 Lake Tahoe Blvd
Ste D
South Lake Tahoe, CA 96150
Phone (530) 314-3249

2050 Dunlap Dr
South Lake Tahoe, CA 96150
Phone (530) 208-9910

2877 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 544-8495

Practitioners & affiliated clinicians

Practitioners 9

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1184170995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 S CHINA LAKE BLVD STE H",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554685",
            "telephone_number": "530-314-3971",
            "fax_number": "530-725-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 S CHINA LAKE BLVD STE H",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554685",
            "telephone_number": "760-371-1606",
            "fax_number": "760-264-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FROHLICH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-541-7133"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.