C O R E Physical Therapy of Visalia Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22909 Issued in CA

Legal business name

C O R E PHYSICAL THERAPY OF VISALIA INC

Practice address

1138 N Chinowth St
Visalia, CA 93291

Phone

(559) 713-1222

Fax

(559) 713-1234

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bryan R Pacillas, MPT

Title

Ceo

Phone

(559) 679-2797

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1376602268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914113",
            "telephone_number": "559-713-1222",
            "fax_number": "559-713-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-713-1222",
            "fax_number": "559-713-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C O R E PHYSICAL THERAPY OF VISALIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "PACILLAS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-679-2797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22909",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22909",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "SP9406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64366Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Burugu
• Alexis Bustos
• Brandon Lee Byer, RN
• Darius Bynum
• C H L EMS Inc
• C O R E Physical Therapy of Visalia Inc
• Peter Jared Michael Famy Caballes, MD
• Peter Stephen Caballes Jr., MD
• Angelica Cabrera-Alvarado, NP
• Azuzena Cabrera-Alvarado

• Physical Therapist in Visalia, CA
• Providers in Visalia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.