NPIMap

Organization Active NPI

Central California Physical Therapy Specialist

  • Physical Therapist
  • Visalia, CA
National Provider Identifier
1790987451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OPT11418 Issued in CA
Legal business name
CENTRAL CALIFORNIA PHYSICAL THERAPY SPECIALIST
Practice address
3362 S Fairway St
Visalia, CA 93277-8109
Phone
(559) 625-2476
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jonna Knox Schengel, M.A.P.TNPI 1356406482
Title
Owner
Phone
(559) 625-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X OPT11418 CA Primary

Addresses

Primary practice location

3362 S Fairway St
Visalia, CA 93277-8109

Mailing address

3362 S Fairway St
Visalia, CA 93277-8109
Phone (559) 625-2476

National Provider Directory

National Provider Directory

Locations

3362 S Fairway St
Visalia, CA 93277
Phone (559) 625-2476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790987451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778109",
            "telephone_number": "559-625-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778109",
            "telephone_number": "559-625-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA PHYSICAL THERAPY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHENGEL",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "KNOX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-625-2476",
        "authorized_official_credential": "M.A.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "OPT11418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.