NPIMap

Organization Active NPI

Holtville Therapy Center

  • Physical Therapy Clinic/Center
  • Holtville, CA
National Provider Identifier
1720206782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOLTVILLE THERAPY CENTER
Practice address
110 W 5TH St
Holtville, CA 92250-1214
Phone
(760) 455-3306
Fax
(760) 344-8240
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jun Garcia, PTA
Title
Owner
Phone
(760) 455-3306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

110 W 5TH St
Holtville, CA 92250-1214

Mailing address

110 W 5TH St
Holtville, CA 92250-1214
Phone (760) 455-3306

National Provider Directory

National Provider Directory
Tax ID family
Calexico Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 W 5th St
Holtville, CA 92250
Phone (760) 356-2074

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720206782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 5TH ST",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501214",
            "telephone_number": "760-455-3306",
            "fax_number": "760-344-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 5TH ST",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501214",
            "telephone_number": "760-455-3306",
            "fax_number": "760-344-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTVILLE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-455-3306",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtville, CA

Sources for this page

  • 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.