NPIMap

Organization Active NPI

Chino Physical Therapy Inc.

  • Physical Therapist
  • Chino, CA
National Provider Identifier
1801946512
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHINO PHYSICAL THERAPY INC.
Practice address
12421 Central Ave
Suite a and B
Chino, CA 91710-2664
Phone
(909) 628-9612
Fax
(909) 591-9942
NPI assigned
Jan 12, 2007
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Robert B. Gray II, PHYSICAL THERAPIST
Title
Owner
Phone
(909) 628-9612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

12421 Central Ave
Suite a and B
Chino, CA 91710-2664

Mailing address

12421 Central Ave
Suite a and B
Chino, CA 91710-2664
Phone (909) 628-9612

National Provider Directory

National Provider Directory

Locations

12421 Central Ave
Chino, CA 91710
Phone (909) 628-9612

12421 Central Ave
Ste A
Chino, CA 91710
Phone (909) 628-9612

Practitioners & affiliated clinicians

Practitioners 3

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1801946512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 CENTRAL AVE",
            "address_2": "SUITE A AND B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102664",
            "telephone_number": "909-628-9612",
            "fax_number": "909-591-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 CENTRAL AVE",
            "address_2": "SUITE A AND B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102664",
            "telephone_number": "909-628-9612",
            "fax_number": "909-591-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-628-9612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.