P.T. on the Go

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25880 Issued in CA

Legal business name

P.T. ON THE GO

Practice address

2700 Madison River Dr
Redding, CA 96002-5182

Phone

(530) 515-6890

Fax

(530) 222-2774

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2020By 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. Delwyn George Sitanggang, MPTNPI 1982724951

Title

President

Phone

(530) 515-6890

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Delwyn George Sitanggang, MPT

  • Physical Therapist
  • Redding, CA
  • NPI 1982724951
  NPD (past) Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710922455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960730701",
            "telephone_number": "530-515-6890",
            "fax_number": "530-222-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MADISON RIVER DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960025182",
            "telephone_number": "530-515-6890",
            "fax_number": "530-222-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.T. ON THE GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SITANGGANG",
        "authorized_official_first_name": "DELWYN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-515-6890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.