Organization Active NPI

North California Rehab, Physical Therapy Inc

  • Physical Therapist
  • Stockton, CA
National Provider Identifier
1760534176
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9385 Issued in CA
Legal business name
NORTH CALIFORNIA REHAB, PHYSICAL THERAPY INC
Practice address
1052 Rivara Rd
Stockton, CA 95207-1824
Phone
(209) 956-5699
Fax
(209) 956-5558
NPI assigned
Jan 17, 2007
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Othman Nihad, D.C.,P.T.NPI 1235290461
Title
Owner
Phone
(209) 956-5699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X DC19233 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT9385 CA Primary

Addresses

Primary practice location

1052 Rivara Rd
Stockton, CA 95207-1824

Mailing address

P.O. Box 692077
Stockton, CA 95269
Phone (209) 956-5699

National Provider Directory

National Provider Directory

Locations

1052 Rivara Rd
Stockton, CA 95207
Phone (209) 956-5699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1760534176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 692077",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95269",
            "telephone_number": "209-956-5699",
            "fax_number": "209-956-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 RIVARA RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952071824",
            "telephone_number": "209-956-5699",
            "fax_number": "209-956-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CALIFORNIA REHAB, PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "NIHAD",
        "authorized_official_first_name": "OTHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-956-5699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,P.T."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC19233",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.