NPIMap

Organization Active NPI

Physiomotion Physical Therapy, Inc.

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1346301751
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24892 Issued in CA
Legal business name
PHYSIOMOTION PHYSICAL THERAPY, INC.
Practice address
4080 N Cedar Ave
Fresno, CA 93726-5267
Phone
(559) 222-7497
Fax
(559) 224-9310
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Mr. Jason A Gray, PT, DPT, OCS
Title
Director
Phone
(559) 222-7497

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 24892 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 22900 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 25847 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 34452 CA

Addresses

Primary practice location

4080 N Cedar Ave
Fresno, CA 93726-5267

Mailing address

4080 N Cedar Ave
Fresno, CA 93726-5267
Phone (559) 222-7497

National Provider Directory

National Provider Directory

Locations

840 Herndon Ave
Ste 101
Clovis, CA 93612
Phone (559) 298-1813

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

Practitioners & affiliated clinicians

Practitioners 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1346301751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265267",
            "telephone_number": "559-222-7497",
            "fax_number": "559-224-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265267",
            "telephone_number": "559-222-7497",
            "fax_number": "559-224-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOMOTION PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-222-7497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24892",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25847",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 2010; 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.