NPIMap

Organization Active NPI

Mountain Physical Therapy

  • Specialist
  • Quincy, CA
National Provider Identifier
1346510310
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT6440 Issued in CA
Legal business name
MOUNTAIN PHYSICAL THERAPY
Practice address
20 Crescent St
B
Quincy, CA 95971-9118
Phone
(530) 283-2291
Fax
(530) 283-2292
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Joaquin A Vargas, PT
Title
Owner/Physical Therapist
Phone
(530) 249-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT6440 CA Primary

Addresses

Primary practice location

20 Crescent St
B
Quincy, CA 95971-9118

Mailing address

20 Crescent St
B
Quincy, CA 95971-9118
Phone (530) 283-2291

Other identifiers 1

IdentifierTypeStateIssuer
1215929328OtherCANPI PHYSICAL THERAPY

National Provider Directory

National Provider Directory

Locations

20 Crescent St
#B
Quincy, CA 95971
Phone (530) 283-2291

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1346510310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRESCENT ST",
            "address_2": "B",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719118",
            "telephone_number": "530-283-2291",
            "fax_number": "530-283-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRESCENT ST",
            "address_2": "B",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719118",
            "telephone_number": "530-283-2291",
            "fax_number": "530-283-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-249-1520",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT6440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PHYSICAL THERAPY",
            "identifier": "1215929328",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.