Physiocare Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32627 Issued in CA

Legal business name

PHYSIOCARE PHYSICAL THERAPY

Practice address

3223 E Shields Ave
Fresno, CA 93726

Phone

(559) 225-1029

Fax

(559) 225-1043

NPI assigned

Mar 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Estelle R Everett, PTNPI 1174539399

Title

Owner Physical Therapist

Phone

(559) 225-1029

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Vatley Care PT Services Former legal business name

Tax ID family

Physiocare Physical 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.

• Physiocare Physical Therapy

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1750341848
  NPD tax ID

Practitioners 4

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.

• Estelle Ruth Everett, PT

  • Physical Therapist
  • Fresno, CA
  • NPI 1174539399
  NPD (past) Authorized official
• Jarrod Don Hicks, MPT

  • Physical Therapist
  • Clovis, CA
  • NPI 1063429819
  NPD (past)
• Herbert Lee Starks Jr., D.P.T.

  • Physical Therapist
  • Lemoore, CA
  • NPI 1932143542
  NPD (past)
• Julia A Bulatowicz, PT

  • Physical Therapist
  • Madison, WI
  • NPI 1851359376
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467429670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3124",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932783124",
            "telephone_number": "559-225-1029",
            "fax_number": "559-225-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93726",
            "telephone_number": "559-225-1029",
            "fax_number": "559-225-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER  PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "559-225-1029",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10890",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09383Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vatley Care PT Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Phys Med a Physical Therapy Corporation
• Physical Medicine Rehab Clinics-Jaipal Sidhu MD, Inc
• Physicians Choice Mobile Imaging (Pcmi)
• Physicians Hearing Services
• Physicians Imaging LP
• Physiomotion Physical Therapy, Inc.
• John M. Pia, MD
• Elena Piatenko, MD
• Michael Kent Piazza, D.C.
• Janet Marie Picard, NP

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.