Glenda C. Chavez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32601 Issued in CA

Practice address

529 E St
Brawley, CA 92227-1930

Phone

(760) 344-9000

Fax

(760) 344-9191

NPI assigned

Mar 18, 2007

Last updated

Apr 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glenda R Casillas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Farid Zia Physical Therapist a Professional Corp

  • Physical Therapist
  • El Centro, CA
  • NPI 1922146109
  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1194849075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432329",
            "telephone_number": "760-353-3422",
            "fax_number": "760-353-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922271930",
            "telephone_number": "760-344-9000",
            "fax_number": "760-344-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "GLENDA",
        "middle_name": "C.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT 32601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "CASILLAS",
            "middle_name": "R",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kasey Cazares
• Cep America - California (Vituity)
• Cep America - Neurology PC
• Lwbba Grissell Chait Llamas, M.D.
• Claudia Patricia Charry Ortiz, FNP-C
• Kanwaljit Kaur Cheema, CRNA
• Christina Chhuo, PHARM.D
• Robert Chilcote, MD
• George K Ching Jr., MD
• Han-Min Chiu, M.D.

• Physical Therapist in Brawley, CA
• Providers in Brawley, CA by specialty
• Physical Therapist in California

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