Organization Active NPI

Envision Physical Therapy

  • Physical Therapy Clinic/Center
  • Riverside, CA
National Provider Identifier
1205685203
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ENVISION PHYSICAL THERAPY
Practice address
6613 Condor Dr
Riverside, CA 92509-0417
Phone
(909) 254-7399
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Thomas Thoi Chau Duong, DPTNPI 1285192211
Title
Physical Therapist
Phone
(909) 254-7399

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6613 Condor Dr
Riverside, CA 92509-0417

Mailing address

6613 Condor Dr
Riverside, CA 92509-0417
Phone (909) 254-7399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1205685203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 CONDOR DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925090417",
            "telephone_number": "909-254-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 CONDOR DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925090417",
            "telephone_number": "909-254-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "THOMAS THOI",
        "authorized_official_middle_name": "CHAU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "909-254-7399",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.