Active NPI
Independent Rehab Physiotherapy Staffing
- Home Health Agency
- San Bernardino, CA
National Provider Identifier
1316534399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INDEPENDENT REHAB PHYSIOTHERAPY STAFFING
- Practice address
- 145 N Plymouth Way
San Bernardino, CA 92408-4173 - Phone
- (909) 800-3749
- NPI assigned
- Dec 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kabbyo Chawdhury, DPT
- Title
- Head Therapist
- Phone
- (909) 800-3749
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
145 N Plymouth Way
San Bernardino, CA 92408-4173
Mailing address
PO Box 766
Loma Linda, CA 92354-0766
Phone (909) 800-3749
Other names 1
- Independent Rehab Therapy Staffing
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- San Bernardino, CA
- NPI 1740802859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608768000000",
"number": "1316534399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 766",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923540766",
"telephone_number": "909-800-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N PLYMOUTH WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924084173",
"telephone_number": "909-800-3749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT REHAB PHYSIOTHERAPY STAFFING",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A",
"authorized_official_last_name": "CHAWDHURY",
"authorized_official_first_name": "KABBYO",
"authorized_official_title_or_position": "HEAD THERAPIST",
"authorized_official_telephone_number": "909-800-3749",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Independent Rehab Therapy Staffing",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.