Organization Active NPI

Arroyo Physical Therapy

  • Physical Therapy Clinic/Center
  • Pasadena, CA
National Provider Identifier
1669787495
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT37027 Issued in CA
Legal business name
ARROYO PHYSICAL THERAPY
Practice address
1720 E Washington Blvd
208
Pasadena, CA 91104-2779
Phone
(626) 593-2283
Fax
(626) 593-2284
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Dr. Gregory Cox, PT, DPTNPI 1720003171
Title
Ceo
Phone
(323) 401-1408

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
Physical Therapy Clinic/Center 261QP2000X PT37027 CA Primary

Addresses

Primary practice location

1720 E Washington Blvd
208
Pasadena, CA 91104-2779

Mailing address

12241 Industrial Blvd Ste 210
Victorville, CA 92395-8301
Phone (800) 489-6905

Other practice location 1

12241 Industrial Blvd Ste 210
Victorville, CA 92395-8301
Phone (800) 489-6905

Other practice location 2

36867 Cook St Ste 103
Palm Desert, CA 92211-6064
Phone (800) 489-6905

Other identifiers 4

IdentifierTypeStateIssuer
CA120436OtherCAUNSPECIFIED
CA120436OtherCAPTAN
CA124469OtherCAUNSPECIFIED
CA124469OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110413000680 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799969812 Receives reassigned benefits from 3 practitioners
Practice locations: Pasadena, CA
O20140729000494 CA Part B Supplier - Clinic/Group Practice 5799969812 Receives reassigned benefits from 5 practitioners
Practice locations: Palm Desert, CA; Victorville, CA

National Provider Directory

National Provider Directory

Locations

74040 El Paseo
Ste B
Palm Desert, CA 92260
Phone (760) 565-3900

1720 E Washington Blvd
Ste 208
Pasadena, CA 91104
Phone (626) 593-2283

12241 Industrial Blvd
Ste 210
Victorville, CA 92395
Phone (800) 489-6905

Practitioners & affiliated clinicians

Practitioners 6

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": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1669787495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 INDUSTRIAL BLVD STE 210",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958301",
            "telephone_number": "800-489-6905",
            "fax_number": "800-489-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E WASHINGTON BLVD",
            "address_2": "208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042779",
            "telephone_number": "626-593-2283",
            "fax_number": "626-593-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12241 Industrial Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958301",
            "country_code": "US",
            "telephone_number": "800-489-6905",
            "fax_number": "800-489-6905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36867 Cook St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116064",
            "country_code": "US",
            "telephone_number": "800-489-6905",
            "fax_number": "800-489-6905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARROYO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-401-1408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT37027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "CA120436",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA120436",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "CA124469",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA124469",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.