Active NPI
Golden Bear Physical Therapy Sports Injury Center, Inc
- Physical Therapy Clinic/Center
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- GOLDEN BEAR PHYSICAL THERAPY SPORTS INJURY CENTER, INC
- Practice address
- 4318 Spyres Way
Modesto, CA 95356-9259 - Phone
- (209) 576-0710
- Fax
- (209) 622-4159
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Bobby Ismail, DPT
- Title
- Ceo
- Phone
- (209) 353-1988
Practitioners 189
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051215000812 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2961423082 |
Receives reassigned benefits from 132 practitioners Practice locations: Oakdale, CA; Patterson, CA; Modesto, CA; Ripon, CA; Riverbank, CA; Salinas, CA; Stockton, CA; Tracy, CA… |
National Provider Directory
National Provider Directory- Tax ID family
- Golden Bear PT
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Assistant
- Modesto, CA
- NPI 1841669710
Locations (25 of 28)
1229 Commerce Ave
Atwater, CA 95301
Phone (209) 683-1386
2908 E Whitmore Ave
Ste E
Ceres, CA 95307
Phone (209) 264-8934
2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071
2222 Francisco Dr
El Dorado Hls, CA 95762
Phone (916) 235-4071
468 Winton Pkwy
Livingston, CA 95334
Phone (209) 398-8740
210 W Pine St
Lodi, CA 95240
Phone (209) 365-7867
1400 S Mercey Springs Rd
Ste I
Los Banos, CA 93635
Phone (209) 710-1011
1519 W Yosemite Ave
Manteca, CA 95337
Phone (209) 265-3038
1019 S Main St
Manteca, CA 95337
Phone (209) 508-9573
3184 Collins Dr
Merced, CA 95348
Phone (209) 230-5289
2119 E Hatch Rd
Ste A
Modesto, CA 95351
Phone (209) 803-9163
950 Oakdale Rd
Ste F
Modesto, CA 95355
Phone (209) 622-1015
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1400 Standiford Ave
Ste 11
Modesto, CA 95350
Phone (209) 576-1078
1533 Oakdale Rd
#B
Modesto, CA 95355
Phone (209) 554-5233
1518 Coffee Rd
Ste I
Modesto, CA 95355
4318 Spyres Way
Modesto, CA 95356
Phone (209) 284-4910
1570 E F St
Ste N
Oakdale, CA 95361
Phone (209) 322-2140
146 N Maag Ave
#B
Oakdale, CA 95361
Phone (209) 260-6094
1700 Keystone Pacific Pkwy
Unit C2
Patterson, CA 95363
Phone (209) 881-9274
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
2603 Patterson Rd
Ste 8
Riverbank, CA 95367
Phone (209) 837-0186
1916 N Main St
Salinas, CA 93906
Phone (209) 508-9573
2339 W Hammer Ln
Ste K
Stockton, CA 95209
Phone (209) 623-2500
855 S Tracy Blvd
Tracy, CA 95376
Phone (209) 627-1383
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4318 Spyres Way
Modesto, CA 95356-9259
Mailing address
PO Box 52219
Phoenix, AZ 85072-2219
Phone (209) 576-0888
Other practice location 1
1229 Commerce Ave
Atwater, CA 95301-5224
Phone (209) 683-1386
Other practice location 2
1335 Coffee Rd Ste 200
Modesto, CA 95355-3192
Phone (209) 576-1946
Other practice location 3
1533 Oakdale Rd Ste B
Modesto, CA 95355-3305
Phone (209) 554-5233
Other practice location 4
2119 E Hatch Rd Ste A
Modesto, CA 95351-4814
Phone (209) 812-3055
Other practice location 5
146 N Maag Ave Ste B
Oakdale, CA 95361-2249
Phone (209) 322-2140
Other practice location 6
1519 W Yosemite Ave
Manteca, CA 95337-5159
Phone (209) 823-3322
Other practice location 7
1019 S Main St
Manteca, CA 95337-5703
Phone (209) 624-1002
Other practice location 8
3184 Collins Dr
Merced, CA 95348-3132
Phone (209) 230-5289
Other practice location 9
2908 E Whitmore Ave Ste E
Ceres, CA 95307-2800
Phone (209) 622-4149
Other practice location 10
2222 Francisco Dr
El Dorado Hills, CA 95762-3762
Phone (916) 235-4071
Other practice location 11
4080 N Cedar Ave
Fresno, CA 93726-5267
Phone (559) 222-7497
Other practice location 12
468 Winton Pkwy
Livingston, CA 95334-9809
Phone (209) 398-8740
Other practice location 13
631 S Ham Ln Ste B
Lodi, CA 95242-3532
Phone (209) 368-7433
Other practice location 14
210 W Pine St
Lodi, CA 95240-2020
Phone (209) 365-7867
Other practice location 15
1400 S Mercey Springs Rd Ste I
Los Banos, CA 93635-4928
Phone (209) 710-1011
Other practice location 16
2339 W Hammer Ln Ste K
Stockton, CA 95209-2368
Phone (209) 623-2500
Other practice location 17
1700 Keystone Pacific Pkwy Unit C2
Patterson, CA 95363-8874
Phone (209) 895-4206
Other practice location 18
1222 W Colony Rd Ste 130
Ripon, CA 95366-9482
Phone (096) 241-2882
Other practice location 19
1586 Constitution Blvd
Salinas, CA 93905-3803
Phone (831) 276-0565
Other practice location 20
855 S Tracy Blvd
Tracy, CA 95376-4744
Phone (209) 627-1383
Other practice location 21
2603 Patterson Rd Ste 8
Riverbank, CA 95367-3407
Phone (209) 896-1870
Other practice location 22
3800 Geer Rd Ste 101
Turlock, CA 95382-1146
Phone (209) 667-1729
Other practice location 23
2303 Geer Rd
Turlock, CA 95382-2408
Phone (209) 585-4100
Other practice location 24
1916 N Main St
Salinas, CA 93906-2034
Phone (209) 508-9573
Other practice location 25
1906 Vista Del Lago Dr Ste A
Valley Springs, CA 95252-9700
Phone (209) 584-1007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2023.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1811084676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52219",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850722219",
"telephone_number": "209-576-0888",
"fax_number": "209-576-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 SPYRES WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569259",
"telephone_number": "209-576-0710",
"fax_number": "209-622-4159"
}
],
"practiceLocations": [
{
"address_1": "1229 Commerce Ave",
"address_purpose": "LOCATION",
"city": "Atwater",
"state": "CA",
"postal_code": "953015224",
"country_code": "US",
"telephone_number": "209-683-1386",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1335 Coffee Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953553192",
"country_code": "US",
"telephone_number": "209-576-1946",
"fax_number": "209-622-4159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1533 Oakdale Rd Ste B",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953553305",
"country_code": "US",
"telephone_number": "209-554-5233",
"fax_number": "209-622-4159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2119 E Hatch Rd Ste A",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953514814",
"country_code": "US",
"telephone_number": "209-812-3055",
"fax_number": "209-537-2820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "146 N Maag Ave Ste B",
"address_purpose": "LOCATION",
"city": "Oakdale",
"state": "CA",
"postal_code": "953612249",
"country_code": "US",
"telephone_number": "209-322-2140",
"fax_number": "209-622-4159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1519 W Yosemite Ave",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953375159",
"country_code": "US",
"telephone_number": "209-823-3322",
"fax_number": "209-222-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1019 S Main St",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953375703",
"country_code": "US",
"telephone_number": "209-624-1002",
"fax_number": "209-222-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3184 Collins Dr",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953483132",
"country_code": "US",
"telephone_number": "209-230-5289",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2908 E Whitmore Ave Ste E",
"address_purpose": "LOCATION",
"city": "Ceres",
"state": "CA",
"postal_code": "953072800",
"country_code": "US",
"telephone_number": "209-622-4149",
"fax_number": "209-622-4159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Francisco Dr",
"address_purpose": "LOCATION",
"city": "El Dorado Hills",
"state": "CA",
"postal_code": "957623762",
"country_code": "US",
"telephone_number": "916-235-4071",
"fax_number": "916-934-0802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4080 N Cedar Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937265267",
"country_code": "US",
"telephone_number": "559-222-7497",
"fax_number": "559-224-9310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "468 Winton Pkwy",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "CA",
"postal_code": "953349809",
"country_code": "US",
"telephone_number": "209-398-8740",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "631 S Ham Ln Ste B",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "CA",
"postal_code": "952423532",
"country_code": "US",
"telephone_number": "209-368-7433",
"fax_number": "209-222-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 W Pine St",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "CA",
"postal_code": "952402020",
"country_code": "US",
"telephone_number": "209-365-7867",
"fax_number": "209-222-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 S Mercey Springs Rd Ste I",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936354928",
"country_code": "US",
"telephone_number": "209-710-1011",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2339 W Hammer Ln Ste K",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952092368",
"country_code": "US",
"telephone_number": "209-623-2500",
"fax_number": "209-222-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Keystone Pacific Pkwy Unit C2",
"address_purpose": "LOCATION",
"city": "Patterson",
"state": "CA",
"postal_code": "953638874",
"country_code": "US",
"telephone_number": "209-895-4206",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1222 W Colony Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Ripon",
"state": "CA",
"postal_code": "953669482",
"country_code": "US",
"telephone_number": "096-241-2882",
"fax_number": "096-224-1592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1586 Constitution Blvd",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939053803",
"country_code": "US",
"telephone_number": "831-276-0565",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 S Tracy Blvd",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953764744",
"country_code": "US",
"telephone_number": "209-627-1383",
"fax_number": "209-222-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2603 Patterson Rd Ste 8",
"address_purpose": "LOCATION",
"city": "Riverbank",
"state": "CA",
"postal_code": "953673407",
"country_code": "US",
"telephone_number": "209-896-1870",
"fax_number": "209-622-4159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Geer Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Turlock",
"state": "CA",
"postal_code": "953821146",
"country_code": "US",
"telephone_number": "209-667-1729",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2303 Geer Rd",
"address_purpose": "LOCATION",
"city": "Turlock",
"state": "CA",
"postal_code": "953822408",
"country_code": "US",
"telephone_number": "209-585-4100",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1916 N Main St",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939062034",
"country_code": "US",
"telephone_number": "209-508-9573",
"fax_number": "209-222-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1906 Vista Del Lago Dr Ste A",
"address_purpose": "LOCATION",
"city": "Valley Springs",
"state": "CA",
"postal_code": "952529700",
"country_code": "US",
"telephone_number": "209-584-1007",
"fax_number": "209-772-8533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOLDEN BEAR PHYSICAL THERAPY SPORTS INJURY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "ISMAIL",
"authorized_official_first_name": "BOBBY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-353-1988",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.