Anberry Physical Rehabilitation Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ZZZ32050Z Issued in CA

Legal business name

ANBERRY PHYSICAL REHABILITATION CENTER, INC.

Practice address

1675 Shaffer Rosd
Atwater, CA 95301-4456

Phone

(209) 841-2083

Fax

(209) 357-0904

NPI assigned

Jun 8, 2006

Last updated

Feb 25, 2011By 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

Donald W. Gormly Jr.

Title

President

Phone

(714) 841-3700

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1487694287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 BEACH BLVD.",
            "address_2": "SUITE 1130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477402",
            "telephone_number": "714-841-2083",
            "fax_number": "866-837-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SHAFFER ROSD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014456",
            "telephone_number": "209-841-2083",
            "fax_number": "209-357-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANBERRY PHYSICAL REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "GORMLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-841-3700",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "ZZZ32050Z",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "ZZZ32050Z",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "ZZZ32050Z",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anberry Physical Rehabilitation Center, Inc
• Anberry Physical Rehabilitation Center, Inc
• Anberry Physical Rehabilitation Center, Inc
• Anberry Physical Rehabilitation Center, Inc.
• Anberry Physical Rehabilitation Center, Inc.
• Melody Anderson
• Kayla Appling
• Karena Aranda
• Sally Aranda
• Ariana Arceo

• Clinic/Center in Atwater, CA
• Providers in Atwater, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.