Physiocare Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOCARE PHYSICAL THERAPY

Practice address

4545 Stockdale Hwy
Suite #
Bakersfield, CA 93309

Phone

(661) 835-1088

Fax

(661) 835-1094

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Estelle R Everett, PTNPI 1174539399

Title

Physical Therapist

Phone

(559) 225-1029

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Care PT Service Former legal business name

Tax ID family

Physiocare Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Physiocare Physical Therapy

  • Physical Therapist
  • Fresno, CA
  • NPI 1467429670
  NPD tax ID

Locations

Practitioners 3

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

• Estelle Ruth Everett, PT

  • Physical Therapist
  • Fresno, CA
  • NPI 1174539399
  NPD (past) Authorized official
• Jarrod Don Hicks, MPT

  • Physical Therapist
  • Clovis, CA
  • NPI 1063429819
  NPD (past)
• Monika Khurana, P.T., M.P.T.

  • Physical Therapist
  • Roseville, CA
  • NPI 1851575773
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750341848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3124",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93278",
            "telephone_number": "559-225-1029",
            "fax_number": "559-225-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 STOCKDALE HWY",
            "address_2": "SUITE #",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-835-1088",
            "fax_number": "661-835-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "559-225-1029",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "ZZZ08832Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Care PT Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Phuoc Thien Louis Tran DDS Inc. (Smile Dental)
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• Newton S Phuong, M.D.
• Physicians Plaza Corporation (E4MDs)
• Physicians' Plaza Pharmacy, Inc.
• Angelica Picasso
• Evangeline Picato, R.N.
• Julie Lorraine Picking, FNP-C
• Andrea Picos
• Myrile Piedad, NP

• Physical Therapist in Bakersfield, CA
• Providers in Bakersfield, 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.