NPIMap

Organization Active NPI

United Therapy Network Incorporated

Doing business as United Therapy Network, Inc.

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1629693619
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED THERAPY NETWORK INCORPORATED
Doing business as
United Therapy Network, Inc.
Practice address
3400 Central Ave Ste 145
Riverside, CA 92506-2161
Phone
(951) 297-3399
Fax
(951) 297-3404
NPI assigned
Jun 15, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Mr. Gudmundur Heimer Gunnarsson, PT, CEO
Title
PT and Owner
Phone
(909) 890-9030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

3400 Central Ave Ste 145
Riverside, CA 92506-2161

Mailing address

1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

Other names 1

  • United Therapy Network, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615001046 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234022369 Receives reassigned benefits from 31 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Bernardino, CA; West Covina, CA; Riverside, CA; Rancho Cucamonga, CA; Palm Springs, CA; Indio, CA; Glendale, CA; Corona, CA…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
United Therapy Network Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1230 E Washington St
Ste 2PA
Colton, CA 92324
Phone (909) 825-6716

802 Magnolia Ave
Ste 107
Corona, CA 92879
Phone (951) 340-0070

411 N Central Ave
Ste 300
Glendale, CA 91203
Phone (818) 352-4747

130 W Route 66
Ste 108
Glendora, CA 91740
Phone (626) 331-8355

301 S Fair Oaks Ave
Ste 401
Pasadena, CA 91105
Phone (626) 744-0411

7974 Haven Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 980-1985

8540 Archibald Ave
Ste D
Rch Cucamonga, CA 91730
Phone (909) 987-4242

1955 Hunts Ln
Ste 200
San Bernardino, CA 92408
Phone (909) 335-1164

855 N Lark Ellen Ave
Fl 1
West Covina, CA 91791
Phone (626) 331-8355

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1629693619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083434",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CENTRAL AVE STE 145",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062161",
            "telephone_number": "951-297-3399",
            "fax_number": "951-297-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPY NETWORK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "GUNNARSSON",
        "authorized_official_first_name": "GUDMUNDUR",
        "authorized_official_middle_name": "HEIMER",
        "authorized_official_title_or_position": "PT AND OWNER",
        "authorized_official_telephone_number": "909-890-9030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CEO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Therapy Network, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Therapy Network, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.