Rustiny, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RUSTINY, INC

Practice address

11354 Mountain View Ave Ste C
Loma Linda, CA 92354-3855

Phone

(909) 796-8400

Fax

(909) 543-1828

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Victoria P Mangunsong, MPTNPI 1699714287

Title

Ceo

Phone

(909) 796-8400

Specialties & licenses 1

Addresses

Other names 1

• BODYALIGNED PHYSICAL THERAPY & PILATES Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Victoria Mangunsong, PT

  • Physical Therapist
  • Loma Linda, CA
  • NPI 1699714287
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1225893175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11354 MOUNTAIN VIEW AVE STE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543855",
            "telephone_number": "909-796-8400",
            "fax_number": "909-543-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11354 MOUNTAIN VIEW AVE STE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543855",
            "telephone_number": "909-796-8400",
            "fax_number": "909-543-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTINY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "MANGUNSONG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-796-8400",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODYALIGNED PHYSICAL THERAPY & PILATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucio Ruiz
• Kitichai Rungcharassaeng, DDS
• Bruce A Runyon, M.D.
• Karen R Rushin, LCSW
• Amy Russell, MD
• Larry Rutebuka, PHARM.D.
• Ivan Rybkin, M.D.
• Hans Saaty, M.D.
• Shabnam Sabagh, PHARM.D.
• Angela Michele Sabino Pilla, MSW STUDENT

• Physical Therapy Clinic/Center in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.