Active NPI
Rolando Witrado III, P.T.
- Physical Therapist
- Sanger, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32411
- Practice address
- 2570 Jensen Ave
Suite #108
Sanger, CA 93657-2269 - Phone
- (559) 875-2220
- Fax
- (559) 875-2220
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32411 | CA | Primary |
Addresses
Primary practice location
2570 Jensen Ave
Suite #108
Sanger, CA 93657-2269
Mailing address
1620 S 3Rd St
Fresno, CA 93702-4150
Phone (559) 875-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7206 N Milburn Ave
Suite 102
Fresno, CA 93722-8450
Phone (559) 271-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32411 | CA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Rehab Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy Inc. | Current | Accepting new patients | |
| Michael Martines Physical Therapist, | Physical Therapist | Past | Accepting new patients |
| Sanger Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Advanced Physical and Occupational Therapy | Physical Therapist | Past | Accepting new patients |
Locations
7355 N Palm Ave
Ste 107
Fresno, CA 93711
Phone (559) 579-1555
7405 N Cedar Ave
Ste 103
Fresno, CA 93720
Phone (559) 261-4100
7206 N Milburn Ave
Ste 102
Fresno, CA 93722
Phone (559) 271-3100
1581 18th Ave
Kingsburg, CA 93631
Phone (559) 897-5270
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fresno, CA
- NPI 1912142332
-
dba Optimal Rehab Physical Therapy
- Orthopedic Physical Therapist
- Fresno, CA
- NPI 1942211669
-
- Physical Therapy Clinic/Center
- Fresno, CA
- NPI 1518159607
Physical Therapist
-
dba Advanced Physical Therapy
- Physical Therapy Clinic/Center
- Fresno, CA
- NPI 1841517026
Physical Therapist
-
- Physical Therapist
- Sanger, CA
- NPI 1891831889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275734550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S 3RD ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937024150",
"telephone_number": "559-875-2220",
"fax_number": "559-875-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 JENSEN AVE",
"address_2": "SUITE #108",
"city": "SANGER",
"state": "CA",
"postal_code": "936572269",
"telephone_number": "559-875-2220",
"fax_number": "559-875-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITRADO",
"first_name": "ROLANDO",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.