Organization Active NPI

Apex Physical Therapy & Sports Medicine, Inc

  • Physical Therapist
  • Twain Harte, CA
National Provider Identifier
1225120397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22617 Issued in AZ
Legal business name
APEX PHYSICAL THERAPY & SPORTS MEDICINE, INC
Practice address
22511 Twain Harte Dr
Twain Harte, CA 95383-9628
Phone
(209) 586-4689
Fax
(209) 586-2309
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David A Hartwig, P TNPI 1386753465
Title
President Physical Therapist
Phone
(209) 586-4689

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 22617 AZ Primary

Addresses

Primary practice location

22511 Twain Harte Dr
Twain Harte, CA 95383-9628

Mailing address

22511 Twain Harte Dr
Twain Harte, CA 95383-9628
Phone (209) 586-4689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000691 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557255171 Receives reassigned benefits from 1 practitioner
Practice locations: Twain Harte, CA

National Provider Directory

National Provider Directory

Locations

22511 Twain Harte Dr
Twain Harte, CA 95383
Phone (209) 586-4689

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225120397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22511 TWAIN HARTE DR",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "953839628",
            "telephone_number": "209-586-4689",
            "fax_number": "209-586-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22511 TWAIN HARTE DR",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "953839628",
            "telephone_number": "209-586-4689",
            "fax_number": "209-586-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PHYSICAL THERAPY & SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT  PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "209-586-4689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "22617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twain Harte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.