New Beginning Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33999 Issued in CA

Legal business name

NEW BEGINNING PHYSICAL THERAPY

Practice address

42335 Wisconsin Ave
Palm Desert, CA 92211-7839

Phone

(760) 835-6175

NPI assigned

May 9, 2018

Last updated

May 9, 2018By 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

Mrs. Stacy W. Hennis, PT

Title

President

Phone

(760) 835-6175

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1730678327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13722",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922553722",
            "telephone_number": "760-218-9961",
            "fax_number": "760-610-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42335 WISCONSIN AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117839",
            "telephone_number": "760-835-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNING PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "HENNIS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-835-6175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Nelson, OTR/L
• Eudora Tecumseh Nelson, M.S.
• Jessica Kathleen Nelson
• Robert Nelson, PH.D.
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• Clinton Patrick Newell, LPCC
• Chantee Nguyen
• Hieu Tin Nguyen, PHARMD
• Hoadon Nguyen, PHARM.D.

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.