Modesto Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11937 Issued in CA

Legal business name

MODESTO PHYSICAL THERAPY

Practice address

2004 McHenry Ave
Modesto, CA 95350

Phone

(209) 572-4263

Fax

(209) 572-0132

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Russell Cox, PT PHYSICAL THERAPISNPI 1043388358

Title

Director

Phone

(209) 572-4263

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard Russell Cox, PT

  • Physical Therapist
  • Modesto, CA
  • NPI 1043388358
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245358563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-572-4263",
            "fax_number": "209-572-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-572-4263",
            "fax_number": "209-572-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-572-4263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT PHYSICAL THERAPIS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesto Optometric Vision Center Inc a Professional Optometric Corp
• Modesto Orthopedic Group
• Modesto Orthopedic Medical Group
• Modesto Pain Diagnostic Treatment Center
• Modesto Pediatrics
• Modesto Primary Care
• Modesto Radiological Medical Group, Inc.
• Modesto Radiology Imaging, Inc.
• Modesto Residential Living Center
• Modesto Senior Living Limited Partnership

• Physical Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Physical Therapist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.