Organization Active NPI

CLT, Inc.

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1447795166
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24031 Issued in CA
Legal business name
CLT, INC.
Practice address
786 Lighthouse Ave
Monterey, CA 93940-1010
Phone
(831) 645-9996
Fax
(831) 645-9997
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Christopher Lee Tinker, DPT
Title
Physical Therapist
Phone
(831) 645-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT24031 CA Primary

Addresses

Primary practice location

786 Lighthouse Ave
Monterey, CA 93940-1010

Mailing address

786 Lighthouse Ave
Monterey, CA 93940-1010
Phone (831) 645-9996

Other names 1

  • Pacific Grove Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

786 Lighthouse Ave
Monterey, CA 93940
Phone (831) 645-9996

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1447795166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401010",
            "telephone_number": "831-645-9996",
            "fax_number": "831-645-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401010",
            "telephone_number": "831-645-9996",
            "fax_number": "831-645-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "TINKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "831-645-9996",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Grove Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.