NPIMap

Organization Active NPI

Jimenez Physical Therapy, Inc

Doing business as Jimenez Physical Therapy

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1346295300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20718 Issued in CA
Legal business name
JIMENEZ PHYSICAL THERAPY, INC
Doing business as
Jimenez Physical Therapy
Practice address
6011 N Fresno St
Suite 120
Fresno, CA 93710-5274
Phone
(559) 436-8155
Fax
(559) 436-8165
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Michael John Jimenez, PTNPI 1700831765
Title
President
Phone
(559) 436-8155

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20417 CA
Physical Therapist 225100000X PT24895 CA
Physical Therapist 225100000X PT20718 CA Primary

Addresses

Primary practice location

6011 N Fresno St
Suite 120
Fresno, CA 93710-5274

Mailing address

6011 N Fresno St
Suite 120
Fresno, CA 93710-5274
Phone (559) 436-8155

Other names 1

  • Jimenez Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060725000470 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517970247 Receives reassigned benefits from 2 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

6011 N Fresno St
Ste 120
Fresno, CA 93710
Phone (559) 436-8155

744 E Bullard Ave
#101
Fresno, CA 93710
Phone (559) 436-8155

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346295300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 N FRESNO ST",
            "address_2": "SUITE 120",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105274",
            "telephone_number": "559-436-8155",
            "fax_number": "559-436-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N FRESNO ST",
            "address_2": "SUITE 120",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105274",
            "telephone_number": "559-436-8155",
            "fax_number": "559-436-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-436-8155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20417",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24895",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimenez Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.