NPIMap

Organization Active NPI

Transit Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1417485889
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT28630 Issued in CA
Legal business name
TRANSIT PHYSICAL THERAPY PC
Practice address
275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238
Phone
(909) 567-2221
Fax
(909) 763-3216
NPI assigned
May 31, 2017
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Mitree Michael PiromgraipakdNPI 1861476079
Title
President
Phone
(909) 567-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Hand Physical Therapist 2251H1200X
Neurology Physical Therapist 2251N0400X
Pediatric Physical Therapist 2251P0200X
Orthopedic Physical Therapist 2251X0800X
Occupational Therapist 225X00000X
Hand Occupational Therapist 225XH1200X
Neurorehabilitation Occupational Therapist 225XN1300X
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X PT28630 CA Primary
Physical Rehabilitation Occupational Therapist 225XP0019X

Addresses

Primary practice location

275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238

Mailing address

275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Phone (909) 567-2221

Other practice location 1

275 W Hospitality Ln Ste 103
San Bernardino, CA 92408-3238
Phone (909) 567-2221

Other practice location 2

100 N Barranca St Ste 920
West Covina, CA 91791-1654
Phone (626) 263-6469

Other practice location 3

275 W Hospitality Ln Ste 102
San Bernardino, CA 92408-3238
Phone (909) 567-2221

Other practice location 4

2280 Market St Ste 230
Riverside, CA 92501-2120
Phone (951) 289-9454

Other practice location 5

1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082
Phone (909) 258-2220

Other practice location 6

17051 Sierra Lakes Pkwy Ste 204
Fontana, CA 92336-1274
Phone (909) 686-6826

Other practice location 7

25915 Barton Rd Ste 206
Loma Linda, CA 92354-3818
Phone (909) 686-6903

Other practice location 8

8045 Archibald Ave Ste 150
Rancho Cucamonga, CA 91730-2874
Phone (909) 310-9850

Other practice location 9

851 E 6th St Ste A4
Beaumont, CA 92223-2371
Phone (909) 756-7001

Other practice location 10

20657 Golden Springs Dr Ste 113
Diamond Bar, CA 91789-3898
Phone (909) 972-0525

Other practice location 11

275 W Hospitality Ln Ste 101
San Bernardino, CA 92408-3238
Phone (909) 567-2221

Other practice location 12

225 W Hospitality Ln Ste 301
San Bernardino, CA 92408-3237
Phone (909) 567-2221

Other identifiers 1

IdentifierTypeStateIssuer
1861476079MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116002526 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274899315 Receives reassigned benefits from 38 practitioners
Practice locations: Beaumont, CA; West Covina, CA; Walnut, CA; San Bernardino, CA; Riverside, CA; Rialto, CA; Rancho Cucamonga, CA; Loma Linda, CA…

National Provider Directory

National Provider Directory

Locations

17051 Sierra Lakes Pkwy
Ste 204
Fontana, CA 92336
Phone (909) 686-6826

25915 Barton Rd
Ste 206
Loma Linda, CA 92354
Phone (909) 686-6903

8045 Archibald Ave
Rancho Cucamonga, CA 91730

8045 Archibald Ave
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 310-9850

2280 Market St
Ste 230
Riverside, CA 92501
Phone (951) 289-9454

4200 Latham St
Ste C1
Riverside, CA 92501
Phone (909) 567-2221

225 W Hospitality Ln
Ste 301
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 101
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1417485889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221",
            "fax_number": "909-567-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Hospitality Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083238",
            "country_code": "US",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Barranca St Ste 920",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911654",
            "country_code": "US",
            "telephone_number": "626-263-6469",
            "fax_number": "626-332-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 W Hospitality Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083238",
            "country_code": "US",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2280 Market St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925012120",
            "country_code": "US",
            "telephone_number": "951-289-9454",
            "fax_number": "951-289-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 N Riverside Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923768082",
            "country_code": "US",
            "telephone_number": "909-258-2220",
            "fax_number": "909-258-2102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17051 Sierra Lakes Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361274",
            "country_code": "US",
            "telephone_number": "909-686-6826",
            "fax_number": "909-587-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25915 Barton Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543818",
            "country_code": "US",
            "telephone_number": "909-686-6903",
            "fax_number": "909-796-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8045 Archibald Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917302874",
            "country_code": "US",
            "telephone_number": "909-310-9850",
            "fax_number": "909-483-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 E 6th St Ste A4",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922232371",
            "country_code": "US",
            "telephone_number": "909-756-7001",
            "fax_number": "951-381-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20657 Golden Springs Dr Ste 113",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917893898",
            "country_code": "US",
            "telephone_number": "909-972-0525",
            "fax_number": "909-274-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 W Hospitality Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083238",
            "country_code": "US",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 W Hospitality Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083237",
            "country_code": "US",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSIT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "PIROMGRAIPAKD",
        "authorized_official_first_name": "MITREE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-567-2221"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT28630",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861476079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.