Tri-Cities Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12940 Issued in CA

Legal business name

TRI-CITIES PHYSICAL THERAPY

Practice address

19031 US Highway 18
Ste 100
Apple Valley, CA 92307-2515

Phone

(760) 946-2165

Fax

(760) 946-2169

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy Royal Methvin, PTA

Title

Owner/Partner

Phone

(760) 946-2165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1316974181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 OUTER HIGHWAY 18",
            "address_2": "STE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-946-2165",
            "fax_number": "760-946-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19031 US HIGHWAY 18",
            "address_2": "STE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072515",
            "telephone_number": "760-946-2165",
            "fax_number": "760-946-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "METHVIN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "ROYAL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "760-946-2165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.