NPIMap

Organization Active NPI

Proplay Pediatric Physical Therapy, Inc.

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1194028654
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24980 Issued in CA
Legal business name
PROPLAY PEDIATRIC PHYSICAL THERAPY, INC.
Practice address
2100 Valley View Pkwy
Suite 1332
El Dorado Hills, CA 95762-5536
Phone
(916) 899-7653
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Mr. Joe John Garcia
Title
Director of Operations
Phone
(916) 899-7653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24980 CA Primary
Physical Therapist 225100000X 15318 CA

Addresses

Primary practice location

2100 Valley View Pkwy
Suite 1332
El Dorado Hills, CA 95762-5536

Mailing address

2100 Valley View Pkwy., # 1332
El Dorado Hills, CA 95762
Phone (916) 837-0561

Other names 1

  • ProPlay Rehabilitation Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1194028654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 VALLEY VIEW PKWY., # 1332",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-837-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 VALLEY VIEW PKWY",
            "address_2": "SUITE 1332",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625536",
            "telephone_number": "916-899-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPLAY PEDIATRIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "916-899-7653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24980",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProPlay Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.