Organization Active NPI

Valley Springs Physical Therapy

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
National Provider Identifier
1518924604
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VALLEY SPRINGS PHYSICAL THERAPY
Practice address
10B Vista del Lago Dr
Valley Springs, CA 95252-8796
Phone
(209) 772-0848
Fax
(209) 772-8533
NPI assigned
May 1, 2006
Organization subpart
Yes
Parent organization
LEAH MICHELLE ROBITAILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mrs. Marline L Juarez
Title
Office Manager
Phone
(209) 772-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10B Vista del Lago Dr
Valley Springs, CA 95252-8796

Mailing address

10B Vista del Lago Dr
Valley Springs, CA 95252-8796
Phone (209) 772-0848

Other identifiers 1

IdentifierTypeStateIssuer
1043516560OtherCASOLE PROPRIETORS NPI

National Provider Directory

National Provider Directory
Part of
Valley Springs Physical Therapy

Locations

10B Vista del Lago Dr
Valley Springs, CA 95252
Phone (209) 419-0167

10 Vista del Lago Dr
#B
Valley Springs, CA 95252
Phone (209) 772-0848

13B Main St
Valley Springs, CA 95252
Phone (209) 772-0848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1518924604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10B VISTA DEL LAGO DR",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528796",
            "telephone_number": "209-772-0848",
            "fax_number": "209-772-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10B VISTA DEL LAGO DR",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528796",
            "telephone_number": "209-772-0848",
            "fax_number": "209-772-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SPRINGS PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEAH MICHELLE ROBITAILLE",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "MARLINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-772-0898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETORS NPI",
            "identifier": "1043516560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.