NPIMap

Organization Active NPI

Foothill Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
National Provider Identifier
1609857945
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOOTHILL PHYSICAL THERAPY, INC.
Practice address
1106 Windfield Way
Suite 4
El Dorado Hills, CA 95762
Phone
(916) 934-0914
Fax
(916) 934-0960
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Mrs. Kristen Joy Glidewell, P.T.
Title
Owner/Administrator
Phone
(916) 934-0914

Specialties & licenses 1

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

Addresses

Primary practice location

1106 Windfield Way
Suite 4
El Dorado Hills, CA 95762

Mailing address

1106 Windfield Way
Suite 4
El Dorado Hills, CA 95762
Phone (916) 934-0914

Other identifiers 1

IdentifierTypeStateIssuer
201042000OtherCAACS-DEPT. OF LABOR ID #

National Provider Directory

National Provider Directory

Locations

1200 Suncast Ln
Ste 5
El Dorado Hills, CA 95762
Phone (916) 934-0914

1106 Windfield Way
Ste 4
El Dorado Hls, CA 95762
Phone (916) 934-0914

Practitioners & affiliated clinicians

Practitioners 8

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1609857945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WINDFIELD WAY",
            "address_2": "SUITE 4",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-934-0914",
            "fax_number": "916-934-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WINDFIELD WAY",
            "address_2": "SUITE 4",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-934-0914",
            "fax_number": "916-934-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "GLIDEWELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-934-0914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS-DEPT. OF LABOR ID #",
            "identifier": "201042000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.