Organization Active NPI

Mojave Valley Physical Therapy

Doing business as Karen K. Kiteley

  • Physical Therapist
  • Victorville, CA
National Provider Identifier
1457332884
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7048 Issued in CA
Legal business name
MOJAVE VALLEY PHYSICAL THERAPY
Doing business as
Karen K. Kiteley
Practice address
15095 Amargosa Rd
Suite 104
Victorville, CA 92394-1879
Phone
(760) 245-3769
Fax
(760) 245-5145
NPI assigned
Nov 11, 2005
Last updated
Mar 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Ms. Karen Kay Kiteley, PT
Title
President
Phone
(760) 245-3769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7048 CA Primary

Addresses

Primary practice location

15095 Amargosa Rd
Suite 104
Victorville, CA 92394-1879

Mailing address

15095 Amargosa Rd
Suite 104
Victorville, CA 92394-1879
Phone (760) 245-3769

Other names 1

  • Karen K. Kiteley Doing business as

National Provider Directory

National Provider Directory

Locations

19031 US Highway 18
Ste 100
Apple Valley, CA 92307
Phone (760) 946-2165

14592 Palmdale Rd
Ste 2
Victorville, CA 92392
Phone (760) 245-3769

15095 Amargosa Rd
Ste 104
Victorville, CA 92394
Phone (760) 245-3769

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1457332884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "SUITE 104",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941879",
            "telephone_number": "760-245-3769",
            "fax_number": "760-245-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "SUITE 104",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941879",
            "telephone_number": "760-245-3769",
            "fax_number": "760-245-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE VALLEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "KITELEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-245-3769",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen K. Kiteley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.