Organization Active NPI

Murieta Physical Therapy

  • Physical Therapist
  • Rancho Murieta, CA
National Provider Identifier
1477651347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17746 Issued in CA
Legal business name
MURIETA PHYSICAL THERAPY
Practice address
7281 Lone Pine Dr
D104
Rancho Murieta, CA 95683-9715
Phone
(916) 354-0719
Fax
(916) 354-1187
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Kyle Minoru Yamashiro, P.T.
Title
Owner
Phone
(916) 354-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT17746 CA Primary

Addresses

Primary practice location

7281 Lone Pine Dr
D104
Rancho Murieta, CA 95683-9715

Mailing address

7281 Lone Pine Dr # 104
PO Box 955
Rancho Murieta, CA 95683-9715
Phone (916) 354-0719

National Provider Directory

National Provider Directory

Locations

7281 Lone Pine Dr
#104
Rancho Murieta, CA 95683

7281 Lone Pine Dr
#D104
Rancho Murieta, CA 95683
Phone (916) 354-0719

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477651347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7281 LONE PINE DR # 104",
            "address_2": "PO BOX 955",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839715",
            "telephone_number": "916-354-0719",
            "fax_number": "916-354-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7281 LONE PINE DR",
            "address_2": "D104",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839715",
            "telephone_number": "916-354-0719",
            "fax_number": "916-354-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURIETA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMASHIRO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MINORU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-354-0719",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Murieta, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.