Organization Active NPI

Symmetry Physical Therapy Inc

  • Physical Therapist
  • Apple Valley, CA
National Provider Identifier
1831422476
Registry record updated Dec 29, 2015
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
18838 US Highway 18
Suite 17
Apple Valley, CA 92307-2332
Phone
(760) 242-0242
Fax
(760) 242-0249
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT22775 CA Primary

Addresses

Primary practice location

18838 US Highway 18
Suite 17
Apple Valley, CA 92307-2332

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

Locations

18838 US Highway 18
Ste 17
Apple Valley, CA 92307
Phone (760) 242-0242

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1831422476",
    "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": "18838 US HIGHWAY 18",
            "address_2": "SUITE 17",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072332",
            "telephone_number": "760-242-0242",
            "fax_number": "760-242-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2015-12-29",
        "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": "193400000X SINGLE SPECIALTY  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 Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.