Active NPI
Ross Martin Fujino, PHYSICAL THERAPIST
- Physical Therapist
- Fresno, CA
National Provider Identifier
1588722672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12338
- Practice address
- 7300 N Fresno St
Fresno, CA 93720-2941 - Phone
- (559) 448-4606
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 12338 | CA | Primary |
Addresses
Primary practice location
7300 N Fresno St
Fresno, CA 93720-2941
Mailing address
7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-5762
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12338 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588722672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202941",
"telephone_number": "559-448-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202941",
"telephone_number": "559-448-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJINO",
"first_name": "ROSS",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "12338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.