Organization Active NPI

Redhawk Physical Therapy, Inc.

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1609407949
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REDHAWK PHYSICAL THERAPY, INC.
Practice address
31537 Rancho Pueblo Rd Ste 204
Temecula, CA 92592-4841
Phone
(951) 514-0728
Fax
(951) 639-0153
NPI assigned
Jan 27, 2020
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Julia Christine Scira, PTNPI 1205993219
Title
Ceo
Phone
(951) 514-0728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

31537 Rancho Pueblo Rd Ste 204
Temecula, CA 92592-4841

Mailing address

31537 Rancho Pueblo Rd Ste 204
Temecula, CA 92592-4841
Phone (951) 514-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200514001393 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921439589 Receives reassigned benefits from 3 practitioners
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

31537 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 579-6721

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": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1609407949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31537 RANCHO PUEBLO RD STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924841",
            "telephone_number": "951-514-0728",
            "fax_number": "951-639-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31537 RANCHO PUEBLO RD STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924841",
            "telephone_number": "951-514-0728",
            "fax_number": "951-639-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDHAWK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "SCIRA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-514-0728",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.