Symmetry Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT22775 Issued in CA

Legal business name

SYMMETRY PHYSICAL THERAPY

Practice address

12384 Palmdale Rd
Suite 202
Victorville, CA 92392-8506

Phone

(760) 900-2169

Fax

(760) 242-0249

NPI assigned

Jul 25, 2010

Organization subpart

No

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

Authorized official

Name

Janice R. Frijas

Title

Ceo

Phone

(760) 900-2169

Specialties & licenses 1

Addresses

Tax ID family

Symmetry Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Symmetry Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Victorville, CA
  • NPI 1124460019
  NPD tax ID
• Symmetry Physical Therapy Inc

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1811127616
  NPD tax ID

Locations

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280016000000",
    "number": "1487967014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12847 ANTELOPE LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927919",
            "telephone_number": "760-900-2169",
            "fax_number": "760-242-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 PALMDALE RD",
            "address_2": "SUITE 202",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928506",
            "telephone_number": "760-900-2169",
            "fax_number": "760-242-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2010-07-25",
        "status": "A",
        "authorized_official_last_name": "FRIJAS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-900-2169"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT22775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanelle Nicole Swinney
• Khaja Nayabrasool Syed, M.D
• Symba Center
• Symba Center
• Symba Center
• Symmetry Physical Therapy Inc
• Calli Tabacco
• Nathalie Tabunar
• Fadi Tahhan, DO
• Seng Taing

• Physical Therapy Clinic/Center in Victorville, CA
• Providers in Victorville, 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 Jul 25, 2010; 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.