Active NPI
Glowbirdie Pediatrics
- Physical Therapist
- Upland, CA
National Provider Identifier
1336955277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GLOWBIRDIE PEDIATRICS
- Doing business as
- In Focus
- Practice address
- 659 E 15TH St Ste D
Upland, CA 91786-2333 - Phone
- (909) 493-1000
- Fax
- (909) 325-7895
- NPI assigned
- Dec 5, 2024
- 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
- Kristin Girshin
- Title
- Owner/Authorized Official
- Phone
- (845) 701-1032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
659 E 15TH St Ste D
Upland, CA 91786-2333
Mailing address
659 E 15TH St Ste D
Upland, CA 91786-2333
Other names 1
- In Focus
National Provider Directory
National Provider DirectoryLocations
659 E 15th St
Ste D
Upland, CA 91786
Phone (909) 493-1000
Practitioners & 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
- Upland, CA
- NPI 1811313687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1336955277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 E 15TH ST STE D",
"city": "UPLAND",
"state": "CA",
"postal_code": "917862333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 E 15TH ST STE D",
"city": "UPLAND",
"state": "CA",
"postal_code": "917862333",
"telephone_number": "909-493-1000",
"fax_number": "909-325-7895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOWBIRDIE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "GIRSHIN",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "845-701-1032"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "In Focus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.