Active NPI
Troy Kurtz, DPT
- Physical Therapist
- San Bernardino, CA
National Provider Identifier
1578718599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34076
- Practice address
- 1560 N D St
San Bernardino, CA 92405-4710 - Phone
- (909) 888-1600
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34076 | CA | Primary |
Addresses
Primary practice location
1560 N D St
San Bernardino, CA 92405-4710
Mailing address
25483 State St
Loma Linda, CA 92354-2330
Phone (630) 341-3079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34076 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Disabilities Residential Treatment Facility
- Placentia, CA
- NPI 1306960851
-
- Physical Therapy Assistant
- San Bernardino, CA
- NPI 1952346033
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1578718599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25483 STATE ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542330",
"telephone_number": "630-341-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054710",
"telephone_number": "909-888-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "TROY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 18, 2008; 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.