NPIMap

Organization Active NPI

United Therapy Network Incorporated

Doing business as United Therapy Network, inc.

  • Physical Therapist
  • San Bernardino, CA
National Provider Identifier
1508183518
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED THERAPY NETWORK INCORPORATED
Doing business as
United Therapy Network, inc.
Practice address
1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Phone
(909) 890-9030
Fax
(909) 890-4393
NPI assigned
Apr 29, 2010
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Gudmundur Heimir Gunnarsson, PT
Title
Ceo/Owner
Phone
(909) 890-9030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary
Occupational Therapist 225X00000X CA

Addresses

Primary practice location

1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467

Mailing address

1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

Other names 1

  • United Therapy Network, inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615001046 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234022369 Receives reassigned benefits from 31 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Bernardino, CA; West Covina, CA; Riverside, CA; Rancho Cucamonga, CA; Palm Springs, CA; Indio, CA; Glendale, CA; Corona, CA…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
United Therapy Network Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

10470 Foothill Blvd
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 948-0411

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1508183518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083434",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR",
            "address_2": "SUITE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083467",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPY NETWORK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "GUNNARSSON",
        "authorized_official_first_name": "GUDMUNDUR",
        "authorized_official_middle_name": "HEIMIR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-890-9030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Therapy Network, inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.