Active NPI
Bobby Ismail, P.T.
- Physical Therapist
- Modesto, CA
National Provider Identifier
1295880656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20138
- Practice address
- 4318 Spyres Way
Modesto, CA 95356-9259 - Phone
- (209) 576-0710
- Fax
- (209) 576-7283
- NPI assigned
- Jan 24, 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 | PT20138 | CA | Primary |
Addresses
Primary practice location
4318 Spyres Way
Modesto, CA 95356-9259
Mailing address
4318 Spyres Way
Modesto, CA 95356-9259
Phone (209) 576-0710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20138 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Country Therapies, Inc | Current | Accepting new patients | |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Past | Accepting new patients |
| Barrows Training & Education Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Bodycentral Physical Therapy PC | Past | Accepting new patients | |
| Marchant Physical Therapy & Wellness, Inc. | Physical Therapist | Past | Accepting new patients |
| Sports Conditioning and Rehabilitation of California Inc | Physical Therapist | Past | Accepting new patients |
| El Dorado Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Past | Accepting new patients |
| Body in Balance Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Smith Therapy Partners | Physical Therapist | Past | Accepting new patients |
| Physiomotion Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
Organizations & group practices 11
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
- Madera, CA
- NPI 1811005242
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fairfield, CA
- NPI 1811982747
Physical Therapist
-
- Physical Therapy Clinic/Center
- El Dorado Hills, CA
- NPI 1033446448
Physical Therapist
-
- Orthopedic Physical Therapist
- San Anselmo, CA
- NPI 1154388577
-
- Physical Therapist
- Orange, CA
- NPI 1013047240
-
- Physical Therapist
- Ventura, CA
- NPI 1205453305
-
- Customized Equipment (DME)
- Tucson, AZ
- NPI 1780899369
-
- Specialist
- Mesquite, NV
- NPI 1205838265
Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
-
- Physical Therapist
- Fresno, CA
- NPI 1346301751
-
- Physical Therapist
- Las Vegas, NV
- NPI 1134758709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1295880656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 SPYRES WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569259",
"telephone_number": "209-576-0710",
"fax_number": "209-576-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 SPYRES WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569259",
"telephone_number": "209-576-0710",
"fax_number": "209-576-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "BOBBY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.