Organization Active NPI

SJ Hands-on Physical Therapy Inc

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1609611581
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SJ HANDS-ON PHYSICAL THERAPY INC
Practice address
5479 N Fresno St Ste 100
Fresno, CA 93710-8328
Phone
(201) 850-7381
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Suvidha Bansal, PTNPI 1003303942
Title
Owner
Phone
(201) 906-8283

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5479 N Fresno St Ste 100
Fresno, CA 93710-8328

Mailing address

7635 N Ann Ave
Fresno, CA 93720-6404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001001324 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244779221 Receives reassigned benefits from 2 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

5479 N Fresno St
Ste 100
Fresno, CA 93710
Phone (559) 439-1832

Practitioners & affiliated clinicians

Practitioners 4

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1609611581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 N ANN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "201-850-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ HANDS-ON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SUVIDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-906-8283",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 1, 2024; 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.