Tyretel Iancu, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3401 Lemon St
Riverside, CA 92501-2861

Phone

(951) 686-8202

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1245700566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43130 CHRISTOPHER LN",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922201599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012861",
            "telephone_number": "951-686-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10116 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925035346",
            "country_code": "US",
            "telephone_number": "951-785-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IANCU",
        "first_name": "TYRETEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I.E. DME Inc.
• I&E Nutrition Services Inc
• I4H Pharmacy LLC
• Iampurpose Wellness Center
• David C. Ianacone, MD
• Cynthia Ibanez, NONE
• Julius Alfred Ibanez, M.D.
• Nancy Lisette Ibanez
• Natalie Ibarra Alonso
• Marco Antonio Ibarra Medina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.