Organization Active NPI

Good Family Physical Therapy Inc

  • Physical Therapist
  • Fontana, CA
National Provider Identifier
1619308483
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Dec 4, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.