NPIMap

Organization Active NPI

J.G. Performance Physical Therapy Inc.

  • Specialist
  • Garden Grove, CA
National Provider Identifier
1639237167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT24044 Issued in CA
Legal business name
J.G. PERFORMANCE PHYSICAL THERAPY INC.
Practice address
11022 Acacia Pkwy
Suite B
Garden Grove, CA 92840-5108
Phone
(714) 530-4184
Fax
(714) 530-4096
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Arthur GeurtsNPI 1235248014
Title
Owner
Phone
(714) 530-4184

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT24044 CA Primary

Addresses

Primary practice location

11022 Acacia Pkwy
Suite B
Garden Grove, CA 92840-5108

Mailing address

11022 Acacia Pkwy
Suite B
Garden Grove, CA 92840-5108
Phone (714) 530-4184

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639237167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 ACACIA PKWY",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405108",
            "telephone_number": "714-530-4184",
            "fax_number": "714-530-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 ACACIA PKWY",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405108",
            "telephone_number": "714-530-4184",
            "fax_number": "714-530-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.G. PERFORMANCE PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEURTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-530-4184"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT24044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

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