Organization Active NPI

Snowview Physical Therapy

  • Physical Therapy Clinic/Center
  • Phelan, CA
National Provider Identifier
1407010242
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SNOWVIEW PHYSICAL THERAPY
Practice address
3936 Phelan Rd
Ste B9
Phelan, CA 92371-4141
Phone
(760) 868-0800
Fax
(760) 868-0822
NPI assigned
Jul 10, 2008
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
William B Mashtalier, MPT, GCSNPI 1235309881
Title
Physical Therapist
Phone
(760) 868-0800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3936 Phelan Rd
Ste B9
Phelan, CA 92371-4141

Mailing address

3936 Phelan Rd
Ste B9
Phelan, CA 92371-4141
Phone (760) 868-0800

National Provider Directory

National Provider Directory

Locations

3936 Phelan Rd
Ste B9
Phelan, CA 92371
Phone (760) 220-6932

Practitioners & affiliated clinicians

Practitioners 1

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1407010242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 PHELAN RD",
            "address_2": "STE B9",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923714141",
            "telephone_number": "760-868-0800",
            "fax_number": "760-868-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 PHELAN RD",
            "address_2": "STE B9",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923714141",
            "telephone_number": "760-868-0800",
            "fax_number": "760-868-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWVIEW PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "MASHTALIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-868-0800",
        "authorized_official_credential": "MPT, GCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phelan, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.