NPIMap

Organization Active NPI

Drysdale Physical Therapy Inc

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1780755546
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 248270 Issued in CA
Legal business name
DRYSDALE PHYSICAL THERAPY INC
Practice address
7275 N 1St St Ste 106
Fresno, CA 93720-2977
Phone
(559) 431-6700
Fax
(559) 431-6777
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Angelica Leon
Title
Billing Manager
Phone
(559) 431-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 248270 CA Primary

Addresses

Primary practice location

7275 N 1St St Ste 106
Fresno, CA 93720-2977

Mailing address

7275 N 1St St Ste 106
Fresno, CA 93720-2977
Phone (559) 431-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090223000611 CA Part B Supplier - Clinic/Group Practice 9032274220 Receives reassigned benefits from 3 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

1243 E Spruce Ave
Ste 105
Fresno, CA 93720
Phone (559) 431-6700

Practitioners & affiliated clinicians

Practitioners 12

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1780755546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 N 1ST ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202977",
            "telephone_number": "559-431-6700",
            "fax_number": "559-431-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 N 1ST ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202977",
            "telephone_number": "559-431-6700",
            "fax_number": "559-431-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYSDALE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "559-431-6700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 248270",
            "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 Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.