Anacaya Physical Therapy, Inc

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT25820 Issued in CA

Legal business name

ANACAYA PHYSICAL THERAPY, INC

Practice address

1365 Stein Way
Corona, CA 92882-6063

Phone

(951) 737-1328

Fax

(951) 848-0564

NPI assigned

Jan 2, 2007

Last updated

May 4, 2015By 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

Mr. Calvin T. Anacaya, R.P.T.

Title

Physical Therapist, Owner

Phone

(951) 737-1328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1700943875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 STEIN WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826063",
            "telephone_number": "951-737-1328",
            "fax_number": "951-848-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 STEIN WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826063",
            "telephone_number": "951-737-1328",
            "fax_number": "951-848-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACAYA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "ANACAYA",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST,  OWNER",
        "authorized_official_telephone_number": "951-737-1328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT25820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.