Town Center Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TOWN CENTER THERAPY

Practice address

57725 Twenty Nine Palms Hwy
Suite 403
Yucca Valley, CA 92284-3117

Phone

(760) 974-6264

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Hagerman

Title

President

Phone

(760) 974-6264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1386949444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57725 TWENTY NINE PALMS HWY",
            "address_2": "SUITE 403",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843117",
            "telephone_number": "760-974-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57725 TWENTY NINE PALMS HWY",
            "address_2": "SUITE 403",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843117",
            "telephone_number": "760-974-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "HAGERMAN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-974-6264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.