Organization Active NPI

Madera Rehabilitation Center, Inc

  • Physical Therapy Clinic/Center
  • Madera, CA
National Provider Identifier
1194956433
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Aug 4, 2009

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)CodeLicenseStatePrimary
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 Directory

Member 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

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.

Verify at the official NPI Registry.