Organization Active NPI

Independent Rehab Physiotherapy Staffing

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1316534399
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 24, 2020

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.