Jose De Jesus Alvarez, PT, DPT,OCS
Individual provider Active NPI Physical Therapist · Perris, CA
NPI 1831173129 · NPPES record last updated Jul 14, 2009
Key facts
- NPI
- 1831173129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT29847 (CA)
- Practice address
- 126 Avocado Ave
Suite 107
Perris, CA 92571-2605 - Phone
- (951) 943-8105
- Fax
- (951) 943-8106
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29847 | CA | MD | Physical Therapist |
| 29847 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan Home Health Care, Inc. | Current |
Accepting new patients | |
| Home Sweet Home Health Agency | Current | Accepting new patients | |
| Orthopedic & Sport Rehab Specialists at Anthem, LLC | Physical Therapist | Past |
Accepting new patients |
| SLK Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29847 | CA | Yes |
Addresses
Primary practice location
126 Avocado Ave
Suite 107
Perris, CA 92571-2605
Mailing address
24630 Washington Ave
Suite 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT298470 | Other | CA | BLUE SHIELD |
| 0206703 | Other | WA | DEPT OF LABOR |
Other names
- Jose D. Alvarez
Other providers in Perris, CA
- Melissa Alvarez Torres
- Eduardo Alvarez-Lopez
- Alejandra C Alvarez
- Angelica Alvarez
- Carla Alvarez
- Cheerag Amin
- Jennifer Santos Anaya
- Matthew David Anderson
- Suzanna Anderson
- Mary Ann Pascual Andrew
All providers in Perris, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.