NPIMap

Organization Active NPI

Ronning Physical Therapy, Inc.

  • Specialist
  • Aptos, CA
National Provider Identifier
1477533313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C232447 Issued in CA
Legal business name
RONNING PHYSICAL THERAPY, INC.
Practice address
2505 Cabrillo College Dr
Aptos, CA 95003-3166
Phone
(831) 464-3901
Fax
(831) 464-3010
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mitchell C. Ronning, R.P.T.NPI 1518947464
Title
President
Phone
(831) 464-3901

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C232447 CA Primary

Addresses

Primary practice location

2505 Cabrillo College Dr
Aptos, CA 95003-3166

Mailing address

2505 Cabrillo College Dr
Aptos, CA 95003-3166
Phone (831) 464-3901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607001283 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991748279 Receives reassigned benefits from 8 practitioners
Practice locations: Aptos, CA

National Provider Directory

National Provider Directory

Locations

2505 Cabrillo College Dr
Aptos, CA 95003
Phone (831) 464-3901

2505 Cabrillo College Dr
#C
Aptos, CA 95003
Phone (831) 464-3901

2505 Cabrillo College Dr
Ste C
Aptos, CA 95003

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477533313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CABRILLO COLLEGE DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033166",
            "telephone_number": "831-464-3901",
            "fax_number": "831-464-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CABRILLO COLLEGE DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033166",
            "telephone_number": "831-464-3901",
            "fax_number": "831-464-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNING PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RONNING",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-464-3901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C232447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • 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.
  • 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.