NPIMap

Organization Active NPI

Glinn and Giordano Physical Therapy Inc.

Doing business as Thera Sport

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1396737896
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GLINN AND GIORDANO PHYSICAL THERAPY INC.
Doing business as
Thera Sport
Practice address
3700 Gosford Rd Suite G
Bakersfield, CA 93309-7694
Phone
(661) 832-9737
Fax
(661) 832-9738
NPI assigned
Aug 19, 2005
Last updated
Nov 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
David RousNPI 1346232402
Title
President
Phone
(661) 327-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapy Clinic/Center 261QP2000X CA

Addresses

Primary practice location

3700 Gosford Rd Suite G
Bakersfield, CA 93309-7694

Mailing address

1201 23Rd Street
Bakersfield, CA 93301
Phone (661) 327-4357

Other names 1

  • Thera Sport Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919001020 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012995913 Receives reassigned benefits from 13 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shafter, CA; Bakersfield, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Glinn and Giordano Physical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3700 Gosford Rd
Ste G
Bakersfield, CA 93309
Phone (661) 832-9737

701 Central Valley Hwy
Ste Bc
Shafter, CA 93263
Phone (661) 237-6100

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": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1396737896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 23RD STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-327-4357",
            "fax_number": "661-327-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GOSFORD RD SUITE G",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097694",
            "telephone_number": "661-832-9737",
            "fax_number": "661-832-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLINN AND GIORDANO PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "ROUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-327-4357"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thera Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thera Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.