Individual provider Active NPI

Angela Rahn, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1760830053
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23956 Issued in CA
Practice address
7405 N Cedar Ave
103
Fresno, CA 93720-3838
Phone
(559) 261-4100
Fax
(559) 261-4101
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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 PT23956 CA Primary

Addresses

Primary practice location

7405 N Cedar Ave
103
Fresno, CA 93720-3838

Mailing address

7405 N Cedar Ave
Ste 103
Fresno, CA 93720-3838
Phone (559) 261-4100

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
PT23956CAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: angela.rahn.1@17371.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1760830053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 N CEDAR AVE",
            "address_2": "STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203838",
            "telephone_number": "559-261-4100",
            "fax_number": "559-261-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 N CEDAR AVE",
            "address_2": "103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203838",
            "telephone_number": "559-261-4100",
            "fax_number": "559-261-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHN",
        "first_name": "ANGELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23956",
            "primary": true
        }
    ],
    "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 Jul 8, 2016; 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.