Individual provider Active NPI

Christopher L Telesmanic, DPT

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1750438941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33085 Issued in CA
Practice address
12459 Lewis St
Suite 102
Garden Grove, CA 92840-4665
Phone
(714) 703-8477
Fax
(714) 703-8157
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 33085 CA Primary

Addresses

Primary practice location

12459 Lewis St
Suite 102
Garden Grove, CA 92840-4665

Mailing address

2351 W Thomason PL
Fresno, CA 93711-7174
Phone (805) 284-1676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000183 CA Practitioner - Physical Therapist in Private Practice 5991805038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L and J Telesmanic Rehab Systems, Inc.Group PAC ID 3072684208, 4 clinicians

Practice addresses (Care Compare)

7065 N Chestnut Ave
Suite 101
Fresno, CA 93720-0355
Phone (559) 439-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33085CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Telesmanic Rehabilitation Inc. CurrentSince Jan 24, 2024 Accepting new patients
L & J Telesmanic Rehab Systems, Inc. Physical Therapist CurrentSince Feb 20, 2010 Accepting new patients
Reedley Physical Therapy Inc Physical Therapist PastSince Jan 24, 2024 Accepting new patients
Ascend Physical Therapy, Inc Physical Therapist PastSince May 1, 2015 Accepting new patients
Innovative Management Inc PastSince Jan 5, 2013 Accepting new patients

Locations

7065 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 439-7041

1756 11th St
Reedley, CA 93654
Phone (559) 638-1171

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
California Armenian HomeFresno, CA, CCN 055955 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2014
Jul 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750438941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W THOMASON PL",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117174",
            "telephone_number": "805-284-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12459 LEWIS ST",
            "address_2": "SUITE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404665",
            "telephone_number": "714-703-8477",
            "fax_number": "714-703-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELESMANIC",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.