NPIMap

Organization Active NPI

United Therapy Network Incorporated

  • Physical Therapist
  • Indio, CA
National Provider Identifier
1548699556
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED THERAPY NETWORK INCORPORATED
Practice address
46900 Monroe St # C
Suite 304
Indio, CA 92201-4827
Phone
(760) 289-3010
Fax
(760) 863-1871
NPI assigned
Nov 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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
Phone
(909) 890-9030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

46900 Monroe St # C
Suite 304
Indio, CA 92201-4827

Mailing address

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

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

500 N Central Ave
Ste 850
Glendale, CA 91203
Phone (818) 549-9764

46900 Monroe St
Ste C304
Indio, CA 92201
Phone (760) 289-3010

46900 Monroe St
Bldg C
Indio, CA 92201

46900 Monroe St
Ste 304
Indio, CA 92201
Phone (760) 289-3010

1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030

Practitioners & affiliated clinicians

Practitioners 3

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": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1548699556",
    "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": "46900 MONROE ST # C",
            "address_2": "SUITE 304",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014827",
            "telephone_number": "760-289-3010",
            "fax_number": "760-863-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPY NETWORK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "GUNNARSSON",
        "authorized_official_first_name": "GUDMUNDUR",
        "authorized_official_middle_name": "HEIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-890-9030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.