Organization Active NPI

Driven Golf Performance and Sports Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Exeter, CA
National Provider Identifier
1275206138
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DRIVEN GOLF PERFORMANCE AND SPORTS PHYSICAL THERAPY, INC.
Practice address
1470 Mary CT
Exeter, CA 93221-2373
Phone
(559) 920-5306
Fax
(559) 471-3727
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Dr. Joseph Samuel Terrill, PT, DPT
Title
Owner, Physical Therapist
Phone
(559) 920-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1470 Mary CT
Exeter, CA 93221-2373

Mailing address

1470 Mary CT
Exeter, CA 93221-2373
Phone (559) 920-5306

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1275206138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 MARY CT",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932212373",
            "telephone_number": "559-920-5306",
            "fax_number": "559-471-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 MARY CT",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932212373",
            "telephone_number": "559-920-5306",
            "fax_number": "559-471-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVEN GOLF PERFORMANCE AND SPORTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "TERRILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "559-920-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.