Organization Active NPI

Up & Movin' Pediatric Physical Therapy PC

  • Early Intervention Provider Agency
  • Riverside, CA
National Provider Identifier
1457659583
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PJ3678C Issued in CA
Legal business name
UP & MOVIN' PEDIATRIC PHYSICAL THERAPY PC
Practice address
6180 Brockton Ave
Suite 202
Riverside, CA 92506-2228
Phone
(951) 961-9152
Fax
(951) 776-8028
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Mrs. Jane Lorei Spickelmier, PTNPI 1487969051
Title
Secretary/Treasurer
Phone
(951) 961-9152

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
Early Intervention Provider Agency 252Y00000X PJ3678C CA Primary

Addresses

Primary practice location

6180 Brockton Ave
Suite 202
Riverside, CA 92506-2228

Mailing address

17835 Luna CT
Riverside, CA 92504-9523
Phone (951) 961-9152

Other identifiers 1

IdentifierTypeStateIssuer
1487969051OtherCANPPES

National Provider Directory

National Provider Directory
Tax ID family
Up and Movin Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6180 Brockton Ave
Ste 202
Riverside, CA 92506
Phone (951) 684-6500

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": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1457659583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 LUNA CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925049523",
            "telephone_number": "951-961-9152",
            "fax_number": "951-776-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 BROCKTON AVE",
            "address_2": "SUITE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062228",
            "telephone_number": "951-961-9152",
            "fax_number": "951-776-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP & MOVIN' PEDIATRIC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "SPICKELMIER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "LOREI",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "951-961-9152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "PJ3678C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1487969051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.