Excel Rehabilitation Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13952 Issued in CA

Legal business name

EXCEL REHABILITATION INC

Practice address

711 S State Highway 49
Jackson, CA 95642-2621

Phone

(209) 223-5669

Fax

(209) 223-4475

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Cordelia Slayter, RPT

Title

Owner

Phone

(209) 223-5669

Specialties & licenses 1

Addresses

Other names 1

• Excel Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1275944001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S STATE HIGHWAY 49",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422621",
            "telephone_number": "209-223-5669",
            "fax_number": "209-223-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S STATE HIGHWAY 49",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422621",
            "telephone_number": "209-223-5669",
            "fax_number": "209-223-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "SLAYTER",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-223-5669",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.