Corona Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13283 Issued in CA

Legal business name

CORONA PHYSICAL THERAPY, INC.

Practice address

1113 S Main St
Suite a
Corona, CA 92882-4412

Phone

(951) 737-1965

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Jim Granado, P.T.

Title

President/Ceo

Phone

(951) 737-1965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1790771640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824412",
            "telephone_number": "951-737-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824412",
            "telephone_number": "951-737-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "GRANADO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "951-737-1965",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.