Individual provider Active NPI

John Logan Fox, MPT

  • Physical Therapist
  • S Pasadena, CA
National Provider Identifier
1528163136
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26110 Issued in CA
Practice address
920 Lohman LN
S Pasadena, CA 91030-2906
Phone
(323) 254-6000
Fax
(323) 254-6003
NPI assigned
Sep 14, 2006
Last updated
Oct 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26110 CA Primary
Sports Physical Therapist 2251S0007X PT26110 CA
Orthopedic Physical Therapist 2251X0800X PT26110 CA

Addresses

Primary practice location

920 Lohman LN
S Pasadena, CA 91030-2906

Mailing address

24630 Washington Ave
Ste. 200
Murrieta, CA 92562-6131
Phone (951) 696-9353

Other identifiers 1

IdentifierTypeStateIssuer
0PT261100OtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26110CAMDAddiction (Substance Use Disorder) Counselor
PT26110CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortanasce Physical Therapy, Inc Physical Therapist Past Accepting new patients
Palm Desert Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Desert Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1528163136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE",
            "address_2": "STE. 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626131",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LOHMAN LN",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910302906",
            "telephone_number": "323-254-6000",
            "fax_number": "323-254-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOHN",
        "middle_name": "LOGAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26110",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT26110",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "0PT261100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.