NPIMap

Organization Active NPI

Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Menifee, CA
National Provider Identifier
1396976734
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RANCHO PHYSICAL THERAPY, INC.
Practice address
30428 Haun Rd Ste 810
Menifee, CA 92584
Phone
(951) 723-1866
Fax
(951) 723-1867
NPI assigned
Aug 3, 2009
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Gabriela Litt
Title
Credentialing
Phone
(951) 696-9353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

30428 Haun Rd Ste 810
Menifee, CA 92584

Mailing address

30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Phone (951) 696-9353

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ05553ZOtherCABLUE SHIELD OF CALIFORNIA
1396976734MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001225 CA Part B Supplier - Clinic/Group Practice 2365346491 Receives reassigned benefits from 40 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Murrieta, CA; Victorville, CA; Temecula, CA; Riverside, CA; Rancho Cucamonga, CA; Perris, CA; Moreno Valley, CA; Menifee, CA…

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Rancho Physical Therapy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

30428 Haun Rd
Ste 810
Menifee, CA 92584
Phone (951) 723-1866

24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594

Practitioners & affiliated clinicians

Practitioners 10

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": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1396976734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30428 HAUN RD STE 810",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846824",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30428 HAUN RD STE 810",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-723-1866",
            "fax_number": "951-723-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LITT",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "951-696-9353"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ05553Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396976734",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.