Active NPI
Murieta Physical Therapy
- Physical Therapist
- Rancho Murieta, CA
National Provider Identifier
1477651347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17746
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.