Jordan River Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JORDAN RIVER PHYSICAL THERAPY

Practice address

34247 Yucaipa Blvd
Yucaipa, CA 92399-6117

Phone

(909) 528-8288

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Fuad Al-Dabbak, MPH, MAED, CHES

Title

Office Manager

Phone

(909) 528-8288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1265210389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35247 FUNK WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34247 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996117",
            "telephone_number": "909-528-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN RIVER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "AL-DABBAK",
        "authorized_official_first_name": "FUAD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-528-8288",
        "authorized_official_credential": "MPH, MAED, CHES"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Marie Jones
• Jordyn Nicole Jones
• Naudiya Y Jones
• Rachel Moriah Jones, LCSW
• Walter Jones III, M.D.
• Jordan River Physical Therapy Inc
• Jorge Enciso, DDS, Inc.
• Michael Judah
• Julian M. Tudose, DDS, Inc
• Juniper Manor, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.