Organization Active NPI

Symmetry Physical Therapy Inc

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1811127616
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22775 Issued in CA
Legal business name
SYMMETRY PHYSICAL THERAPY INC
Practice address
8112 Milliken Ave
Suite 103-2
Rancho Cucamonga, CA 91730-7471
Phone
(760) 900-2169
NPI assigned
Jul 15, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Mrs. Janice R Frijas, PTNPI 1225124498
Title
Ceo/Physical Therapist
Phone
(760) 900-2169

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 Therapist 225100000X PT22775 CA Primary

Addresses

Primary practice location

8112 Milliken Ave
Suite 103-2
Rancho Cucamonga, CA 91730-7471

Mailing address

12847 Antelope LN
Victorville, CA 92392-7919
Phone (760) 900-2169

Other identifiers 2

IdentifierTypeStateIssuer
P00009302OtherCARAILROAD
PT0227750MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Symmetry Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1811127616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12847 ANTELOPE LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927919",
            "telephone_number": "760-900-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE",
            "address_2": "SUITE 103-2",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "760-900-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "FRIJAS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-900-2169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00009302",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0227750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.