H.D.P.R.G., Inc
Organization Active NPI Speech-Language Pathologist · Twentynine Palms, CA
NPI 1295886067 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1295886067
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- H.D.P.R.G., INC
- Practice address
- 5930 Adobe Rd
Twentynine Palms, CA 92277-2356 - Phone
- (760) 367-1743
- Fax
- (760) 367-1083
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James R. Larson
- Title
- Ceo
- Phone
- (760) 367-1743
Practitioners 80
-
Jennifer Diemart, M.A.
-
Elijah Hazzard, PT
-
Susan Marie Hurley, OTR
-
Emily S Riley, SLP
-
Justin Degenhardt, DPT
-
Sarah E Grim, PT, DPT
-
Sarah Lewis, DPT
-
Mark Lostracco, D.P.T
-
Kytan Josephine Tencleve, PT, DPT
-
Eric Andrew Makuch, DPT
-
Crystal Lyn Knapp, D.P.T
-
Vika Preddy, PT
-
Victoria Adams, DPT
-
Joseph Armeli, DPT
-
Adam Keith Aspaas, PT, DPT, EP-C
-
Brooks P Landy, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040325001759 | CA | Part B Supplier - Clinic/Group Practice | 3678465564 |
Receives reassigned benefits from 36 practitioners Practice locations: Twentynine Palms, CA; Yucca Valley, CA |
National Provider Directory
Locations
5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743
56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Mailing address
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone (760) 367-1743
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ07515Z | Other | CA | BLUE SHIELD |
| GPT000931 | Medicaid | CA | |
| 678082 | Other | CA | ACN |
| GCT000411 | Medicaid | CA | |
| ZZZ08136Z | Other | CA | BLUE SHIELD |
| GPT000930 | Medicaid | CA | |
| GSP000541 | Medicaid | CA | |
| ZZZ07514Z | Other | CA | BLUE SHIELD |
| ZZZ08126Z | Other | CA | BLUE SHIELD |
| GCT000410 | Medicaid | CA | |
| ZZZ08135Z | Other | CA | BLUE SHIELD |
| GSP000540 | Medicaid | CA | |
| ZZZ08125Z | Other | CA | BLUE SHIELD |
Other names
- Hi-Desert Physical Rehabilitation Group
Other providers in Twentynine Palms, CA
- Melissa Grisi
- Elaine Tizz Grossman
- Benjamin Eric Grounds
- David McCall Groves
- Shawna Rae-Ann Guerrero
- Chrysanthy Ha
- Beverly A. Hall
- Joseph Luke Hamilton
- Susan E. Hammon
- Han and Kim Dental Corp
All providers in Twentynine Palms, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.