Organization Active NPI

Oakhurst Physical Therapy Inc

  • Physical Therapist
  • Oakhurst, CA
National Provider Identifier
1386727725
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OAKHURST PHYSICAL THERAPY INC
Practice address
39930 Sierra Way
Suite a
Oakhurst, CA 93644
Phone
(559) 683-0974
Fax
(559) 683-0973
NPI assigned
Oct 21, 2006
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Mrs. Lori Denise McLean, PTNPI 1629151063
Title
Owner
Phone
(559) 683-0974

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

39930 Sierra Way
Suite a
Oakhurst, CA 93644

Mailing address

39930 Sierra Way
Suite a
Oakhurst, CA 93644
Phone (559) 683-0974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000338 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678475837 Receives reassigned benefits from 4 practitioners
Practice locations: Oakhurst, CA

National Provider Directory

National Provider Directory

Locations

39930 Sierra Way
Ste A
Oakhurst, CA 93644
Phone (559) 683-0974

40282 Highway 41
Ste 6
Oakhurst, CA 93644
Phone (559) 683-0974

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": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1386727725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39930 SIERRA WAY",
            "address_2": "SUITE A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-683-0974",
            "fax_number": "559-683-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39930 SIERRA WAY",
            "address_2": "SUITE A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-683-0974",
            "fax_number": "559-683-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-683-0974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.