NPIMap

Organization Active NPI

Tower Physical Therapy, Inc

  • Physical Therapist
  • Ceres, CA
National Provider Identifier
1194062463
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24553 Issued in CA
Legal business name
TOWER PHYSICAL THERAPY, INC
Practice address
1768 Mitchell Rd
Suite 305
Ceres, CA 95307
Phone
(209) 216-3360
Fax
(209) 216-3365
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWER PHYSICAL THERAPY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Kristen Ann Payne, P.T.NPI 1962553040
Title
Physical Therapist
Phone
(209) 216-3360

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24553 CA Primary
Physical Therapist 225100000X 25198 CA

Addresses

Primary practice location

1768 Mitchell Rd
Suite 305
Ceres, CA 95307

Mailing address

1801 Colorado Ave
Suite 260
Turlock, CA 95382-2706
Phone (209) 216-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000885 CA Part B Supplier - Clinic/Group Practice 0547244030 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Ceres, CA; Turlock, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tower Physical Therapy Inc2 organizations share this tax ID, including this one
Part of
Tower Physical Therapy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1194062463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "SUITE 260",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822706",
            "telephone_number": "209-216-3360",
            "fax_number": "209-261-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD",
            "address_2": "SUITE 305",
            "city": "CERES",
            "state": "CA",
            "postal_code": "95307",
            "telephone_number": "209-216-3360",
            "fax_number": "209-216-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER PHYSICAL THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWER PHYSICAL THERAPY, INC",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "209-216-3360",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24553",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.