Phys Med a Physical Therapy Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYS MED A PHYSICAL THERAPY CORPORATION

Practice address

4969 E McKinley Ave Ste 106
Fresno, CA 93727-1968

Phone

(559) 319-1725

NPI assigned

May 18, 2006

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blasenko Hugo Simunovic, P.T.NPI 1144329053

Title

Owner

Phone

(559) 438-4300

Specialties & licenses 2

Addresses

Other names 1

• Phys Med Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 16

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.

• Blasenko Simunovic, PT

  • Orthopedic Physical Therapist
  • Fresno, CA
  • NPI 1144329053
  Medicare reassignment Care Compare group NPD Authorized official
• Laurie Loeffler, DPT

  • Physical Therapist
  • Fresno, CA
  • NPI 1407403595
  Medicare reassignment Care Compare group NPD
• Davor Simunovic

  • Physical Therapist
  • Fresno, CA
  • NPI 1750235115
  Medicare reassignment Care Compare group NPD
• David Taylor, DPT

  • Physical Therapist
  • Fresno, CA
  • NPI 1700543022
  Medicare reassignment Care Compare group NPD
• Travis Webb

  • Physical Therapist
  • Fresno, CA
  • NPI 1851010086
  Medicare reassignment Care Compare group NPD
• Myraelen Aguilar, PT, DPT

  • Physical Therapist
  • Madera, CA
  • NPI 1518567841
  Medicare reassignment NPD
• Rodrigo G Cabargas, PT

  • Physical Therapist
  • Fresno, CA
  • NPI 1619275104
  Medicare reassignment NPD
• Eric Cook, MPT

  • Physical Therapist
  • Fresno, CA
  • NPI 1346406048
  Medicare reassignment NPD
• Jitesh Gupta

  • Physical Therapist
  • Fresno, CA
  • NPI 1467779637
  Medicare reassignment NPD
• Jose Ramon Perez, PT

  • Physical Therapist
  • Atascadero, CA
  • NPI 1821635319
  Medicare reassignment NPD
• Edwal Pierre

  • Physical Therapist
  • Fresno, CA
  • NPI 1235710393
  Medicare reassignment NPD
• Chad Brandon Rieckenberg, DPT

  • Physical Therapist
  • Corcoran, CA
  • NPI 1376817684
  Medicare reassignment NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1699728188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 E MCKINLEY AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271968",
            "telephone_number": "559-319-1725",
            "fax_number": "559-478-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 E MCKINLEY AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271968",
            "telephone_number": "559-319-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYS MED A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "SIMUNOVIC",
        "authorized_official_first_name": "BLASENKO",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-438-4300",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phys Med",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Phys Med",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Saengsulee Phonxaylinkham
• Jaden Phouthavong
• Sompan Phrachomphone
• Phung K Pham DDS Inc
• Stephanie Phyo, O.D.
• Physical Medicine Rehab Clinics-Jaipal Sidhu MD, Inc
• Physicians Choice Mobile Imaging (Pcmi)
• Physicians Hearing Services
• Physicians Imaging LP
• Physiocare Physical Therapy

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.