Active NPI
Madera Rehabilitation Center, Inc
- Physical Therapy Clinic/Center
- Madera, CA
National Provider Identifier
1194956433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MADERA REHABILITATION CENTER, INC
- Practice address
- 2000 N Schnoor St
Suite 102
Madera, CA 93637-5050 - Phone
- (559) 222-4060
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan Crist, R.N.
- Title
- Owner
- Phone
- (559) 222-4060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2000 N Schnoor St
Suite 102
Madera, CA 93637-5050
Mailing address
4545 N West Ave
Ste 118a
Fresno, CA 93705-0946
Phone (559) 222-4060
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1194956433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 N WEST AVE",
"address_2": "STE 118A",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050946",
"telephone_number": "559-222-4060",
"fax_number": "559-222-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N SCHNOOR ST",
"address_2": "SUITE 102",
"city": "MADERA",
"state": "CA",
"postal_code": "936375050",
"telephone_number": "559-222-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADERA REHABILITATION CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "CRIST",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-222-4060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
- Madera Physicians Association, Inc
- Madera Post Acute LLC
- Madera Pulmonary and Sleep Disorders
- Madera Pulmonary and Sleep Disorders Center a Medical Corpora
- Madera Radiology Associates
- Madera SNF Operations LLC
- Madera Surgery Center Inc.
- Madera Unified School District
- Madera Valley Physicians Association
- Madera Womens Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.