Organization Active NPI

Beyond Fitness Physical Therapy

  • Physical Therapy Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1316981038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
18012 Issued in CA
Legal business name
BEYOND FITNESS PHYSICAL THERAPY
Practice address
71847 Highway 111
Rancho Mirage, CA 92270-6406
Phone
(760) 773-1144
Fax
(760) 773-2124
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Zephia Fay Bock, PT
Title
President
Phone
(760) 773-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 18012 CA Primary

Addresses

Primary practice location

71847 Highway 111
Rancho Mirage, CA 92270-6406

Mailing address

PO Box 1256
Rancho Mirage, CA 92270
Phone (760) 773-1144

Other identifiers 2

IdentifierTypeStateIssuer
PT26856OtherCAKEVIN J. BUCKLEY
PT268560OtherCACHRISTIAN E. SLOTTER, MPT

National Provider Directory

National Provider Directory

Locations

71847 Highway 111
Rancho Mirage, CA 92270
Phone (760) 773-1144

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316981038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1256",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-773-1144",
            "fax_number": "760-773-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71847 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922706406",
            "telephone_number": "760-773-1144",
            "fax_number": "760-773-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND FITNESS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "ZEPHIA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-773-1144",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "18012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEVIN J. BUCKLEY",
            "identifier": "PT26856",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTIAN E. SLOTTER, MPT",
            "identifier": "PT268560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.