Individual provider Active NPI

Gary L Lentell, DPT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1760769863
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10042 Issued in CA
Practice address
1700 E Bullard Ave Ste 102
Fresno, CA 93710-5866
Phone
(559) 438-8531
Fax
(559) 438-8307
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10042 CA Primary
Cardiopulmonary Physical Therapist 2251C2600X PT10042 CA
Geriatric Physical Therapist 2251G0304X PT10042 CA
Sports Physical Therapist 2251S0007X PT10042 CA
Orthopedic Physical Therapist 2251X0800X PT10042 CA

Addresses

Primary practice location

1700 E Bullard Ave Ste 102
Fresno, CA 93710-5866

Mailing address

1700 E Bullard Ave Ste 102
Fresno, CA 93710-5866
Phone (559) 438-8531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10042CAMDAddiction (Substance Use Disorder) Counselor
PT10042CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Physical Therapy, Inc. Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients

Locations

1700 E Bullard Ave
Ste 102
Fresno, CA 93710
Phone (559) 438-8531

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1760769863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105866",
            "telephone_number": "559-438-8531",
            "fax_number": "559-438-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BULLARD AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105866",
            "telephone_number": "559-438-8531",
            "fax_number": "559-438-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTELL",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10042",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "CA",
            "license": "PT10042",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT10042",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT10042",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT10042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.