Individual provider Active NPI

John Rendig, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1417053083
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32503 Issued in CA
Practice address
8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833
Phone
(559) 440-9200
Fax
(599) 440-9222
NPI assigned
Sep 14, 2006
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32503 CA Primary

Addresses

Primary practice location

8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833

Mailing address

8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833
Phone (559) 440-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000757 CA Practitioner - Physical Therapist in Private Practice 2163436015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2035 Lyndell Ter
Suite 200
Davis, CA 95616-6222
Phone (530) 758-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32503CAMDChiropractor
PT32503CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burger Physical Therapy Services Inc CurrentSince Jul 14, 2025 Accepting new patients
Cicero and Hendricks Physical Therapy Physical Therapist Past Accepting new patients
Thrive Physical Therapy Physical Therapist PastSince Dec 10, 2012 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc PastSince Jul 14, 2025 Accepting new patients

Locations

2035 Lyndell Ter
Ste 200
Davis, CA 95616
Phone (530) 758-2222

1301 E Bidwell St
Ste 201
Folsom, CA 95630

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1417053083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 N CEDAR AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204833",
            "telephone_number": "559-440-9200",
            "fax_number": "559-440-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 N CEDAR AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204833",
            "telephone_number": "559-440-9200",
            "fax_number": "599-440-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDIG",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.