Merced Physical Therapy and Sports Medicine Rehab LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

36890 Issued in CA

Legal business name

MERCED PHYSICAL THERAPY AND SPORTS MEDICINE REHAB LLC

Practice address

2908 G St
C
Merced, CA 95340-2106

Phone

(209) 812-1448

Fax

(209) 812-1445

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Pinky Parikh, PTNPI 1275721607

Title

President

Phone

(209) 812-1448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pinky M Parikh, PT

  • Physical Therapist
  • Merced, CA
  • NPI 1275721607
  Medicare reassignment Authorized official
• Briana Marie Hemme

  • Massage Therapist
  • Merced, CA
  • NPI 1609731777
  NPD
• Joseph Kalani Kanaeholo, CMT

  • Massage Therapist
  • Merced, CA
  • NPI 1710813142
  NPD (past)

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1679827166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2328",
            "address_2": "C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440328",
            "telephone_number": "209-812-1448",
            "fax_number": "209-812-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 G ST",
            "address_2": "C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402106",
            "telephone_number": "209-812-1448",
            "fax_number": "209-812-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED PHYSICAL THERAPY AND SPORTS MEDICINE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "PINKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-812-1448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "36890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Merced Pathology Medical Group, Inc.
• Merced Pharmacy Care Inc
• Merced Pulmonary Medical Assoc.
• Merced Radiology Medical Group
• Merced Rescue Mission
• Merced Rescue Mission
• Merced Senior Living Limited Partnership

• Mechanotherapist in Merced, CA
• Providers in Merced, CA by specialty
• Mechanotherapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.