Individual provider Active NPI

Gregory Cox, RPT

  • Physical Therapist
  • Victorville, CA
National Provider Identifier
1720003171
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16294 Issued in CA
Practice address
12241 Industrial Blvd
Suite 210
Victorville, CA 92395-7794
Phone
(800) 489-6905
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16294 CA Primary

Addresses

Primary practice location

12241 Industrial Blvd
Suite 210
Victorville, CA 92395-7794

Mailing address

12241 Industrial Blvd
Suite 210
Victorville, CA 92395-7794
Phone (800) 489-6905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000235 CA Practitioner - Physical Therapist in Private Practice 3173424165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Physical TherapyGroup PAC ID 5799969812, 2 clinicians

Practice addresses (Care Compare)

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

1720 E Washington Blvd
Suite 208
Pasadena, CA 91104-2773
Phone (800) 489-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Physical Therapy Physical Therapist CurrentSince May 5, 2014 Accepting new patients
Power Center Physical Therapy Incorporated Physical Therapist Past Accepting new patients

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1720003171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 INDUSTRIAL BLVD",
            "address_2": "SUITE 210",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957794",
            "telephone_number": "800-489-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 INDUSTRIAL BLVD",
            "address_2": "SUITE 210",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957794",
            "telephone_number": "800-489-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "GREGORY",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "16294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.