Active NPI
Gary L Lentell, DPT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1760769863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10042
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10042 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PT10042 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGuire Physical Therapy, Inc. | Physical Therapist | Current | 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.
-
- Sports Physical Therapist
- Fresno, CA
- NPI 1699860353
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.