Organization Active NPI

Spitzers Physical Therapy and Personal Training Center, Inc.

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1598853400
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
INDIVIDUAL #S Issued in CA
Legal business name
SPITZERS PHYSICAL THERAPY AND PERSONAL TRAINING CENTER, INC.
Practice address
615 4TH St
Clovis, CA 93612-1124
Phone
(559) 322-5345
Fax
(559) 322-5041
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Mr. Dennis Keith Spitzer, P.T.
Title
Owner
Phone
(559) 322-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X INDIVIDUAL #S CA Primary

Addresses

Primary practice location

615 4TH St
Clovis, CA 93612-1124

Mailing address

615 4TH St
Clovis, CA 93612-1124
Phone (559) 322-5345

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ08119ZOtherCABLUE SHIELD GROUP ID
184456400OtherCADEPT. OF LABOR

Other names 1

  • SPITZER'S PHYSICAL THERAPY, INC Doing business as

National Provider Directory

National Provider Directory

Locations

615 4th St
Clovis, CA 93612
Phone (559) 322-5345

5707 E Balch Ave
Fresno, CA 93727
Phone (559) 322-5345

524 S Clovis Ave
Ste I
Fresno, CA 93727
Phone (559) 322-5345

Practitioners & affiliated clinicians

Practitioners 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1598853400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 4TH ST",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121124",
            "telephone_number": "559-322-5345",
            "fax_number": "559-322-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 4TH ST",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121124",
            "telephone_number": "559-322-5345",
            "fax_number": "559-322-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPITZERS PHYSICAL THERAPY AND PERSONAL TRAINING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-322-5345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "INDIVIDUAL #S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "ZZZ08119Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "184456400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPITZER'S PHYSICAL THERAPY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.