Organization Active NPI

Inland Physical Therapy and Spine Center, PC

  • Physical Therapist
  • Fontana, CA
National Provider Identifier
1811326614
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30341 Issued in CA
Legal business name
INLAND PHYSICAL THERAPY AND SPINE CENTER, PC
Practice address
7333 Foxglove PL
Fontana, CA 92336-3187
Phone
(909) 452-7718
Fax
(909) 452-7718
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Dr. Jesse Resari, PT, DPT
Title
Owner
Phone
(909) 827-8846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 30341 CA Primary

Addresses

Primary practice location

7333 Foxglove PL
Fontana, CA 92336-3187

Mailing address

7333 Foxglove PL
Fontana, CA 92336-3187
Phone (909) 452-7718

National Provider Directory

National Provider Directory

Locations

9471 Haven Ave
Ste 130
Rancho Cucamonga, CA 91730
Phone (909) 827-8846

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1811326614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 FOXGLOVE PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363187",
            "telephone_number": "909-452-7718",
            "fax_number": "909-452-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 FOXGLOVE PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363187",
            "telephone_number": "909-452-7718",
            "fax_number": "909-452-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND PHYSICAL THERAPY AND SPINE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "RESARI",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-827-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.