Active NPI
Ga Physical Therapy Group Inc
- Occupational Therapist
- Victorville, CA
National Provider Identifier
1487922621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT7058
- Legal business name
- GA PHYSICAL THERAPY GROUP INC
- Doing business as
- AG HAND REHABILITATION
- Practice address
- 12998 Hesperia Rd
Ste 103
Victorville, CA 92395-8317 - Phone
- (760) 245-4800
- NPI assigned
- Dec 2, 2011
- 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
- Archana G Chaturvedi, O.T
- Title
- President
- Phone
- (760) 245-4800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29722 | CA | |
| Occupational Therapist | 225X00000X | OT7058 | CA | Primary |
Addresses
Primary practice location
12998 Hesperia Rd
Ste 103
Victorville, CA 92395-8317
Mailing address
12998 Hesperia Rd
Suite 103
Victorville, CA 92395-8317
Phone (760) 245-4800
Other names 1
- AG HAND REHABILITATION
National Provider Directory
National Provider DirectoryLocations
1600 E Florida Ave
Ste 305
Hemet, CA 92544
Phone (760) 245-4800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1487922621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12998 HESPERIA RD",
"address_2": "SUITE 103",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958317",
"telephone_number": "760-245-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12998 HESPERIA RD",
"address_2": "STE 103",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958317",
"telephone_number": "760-245-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GA PHYSICAL THERAPY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-02",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "CHATURVEDI",
"authorized_official_first_name": "ARCHANA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-245-4800",
"authorized_official_credential": "O.T"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT29722",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT7058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AG HAND REHABILITATION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.