Glendora Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GLENDORA SPORTS MEDICINE

Practice address

415 W Carroll Ave
Glendora, CA 91741-4208

Phone

(626) 335-7553

Fax

(626) 335-7757

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Suzi Alter

Title

Owner

Phone

(626) 335-7553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477750339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W CARROLL AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414208",
            "telephone_number": "626-335-7553",
            "fax_number": "626-335-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W CARROLL AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414208",
            "telephone_number": "626-335-7553",
            "fax_number": "626-335-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDORA SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "SUZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-335-7553"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendora Grand, Inc.
• Glendora Medical Associates
• Glendora Optometry Apc
• Glendora Pediatrics Med Group Inc
• Glendora Recovery Center
• Glendora Surgery Center
• Glendora Unified School District
• GM Care Home Health Inc
• Jeanine Lee Goff, FNP
• Gloria Goh, PHARMD

• Physical Therapy Clinic/Center in Glendora, CA
• Providers in Glendora, CA by specialty
• Physical Therapy Clinic/Center 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.