Active NPI
Good Family Physical Therapy Inc
- Physical Therapist
- Fontana, CA
National Provider Identifier
1619308483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GOOD FAMILY PHYSICAL THERAPY INC
- Practice address
- 15218 Summit Ave # 300-702
Fontana, CA 92336-0232 - Phone
- (909) 471-8865
- Fax
- (888) 544-2759
- NPI assigned
- Dec 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Zamora, PT
- Title
- President
- Phone
- (909) 471-8865
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
15218 Summit Ave # 300-702
Fontana, CA 92336-0232
Mailing address
15218 Summit Ave # 300-702
Fontana, CA 92336-0232
Phone (909) 471-8865
National Provider Directory
National Provider DirectoryLocations
15218 Summit Ave
#300702
Fontana, CA 92336
Phone (909) 471-8865
515 New Jersey St
#G1
Redlands, CA 92373
Phone (909) 810-0185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1619308483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15218 SUMMIT AVE # 300-702",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360232",
"telephone_number": "909-471-8865",
"fax_number": "888-544-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15218 SUMMIT AVE # 300-702",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360232",
"telephone_number": "909-471-8865",
"fax_number": "888-544-2759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD FAMILY PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "ZAMORA",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-471-8865",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.