Summit Physical Therapy Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMIT PHYSICAL THERAPY SERVICES INC

Practice address

51 Club Drive
Mammoth Lakes, CA 93546

Phone

(760) 709-6161

Fax

(760) 929-2612

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Bryan S Dennison, DPTNPI 1235271115

Title

Director

Phone

(760) 709-6161

Specialties & licenses 1

Addresses

Other names 1

• Summit Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Bryan Dennison, P.T.

  • Physical Therapist
  • Mammoth Lakes, CA
  • NPI 1235271115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1376842823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935461549",
            "telephone_number": "760-709-6161",
            "fax_number": "760-929-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CLUB DRIVE",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-709-6161",
            "fax_number": "760-929-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-709-6161",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Mono Health Care District
• Southern Mono Health Care District
• Southern Mono Health Care District
• Southern Mono Healthcare District
• Debra Grace Stewart, RAS
• Eriko Suzuki, R.N., M.S., N.P.
• Allyson Marie Tapley, SUB AND CTC
• Kevin Thomas, AT
• Ellen Elizabeth Thompson, PH.D.
• Thrifty Payless Inc

• Physical Therapist in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.