Active NPI
Symmetry Physical Therapy Inc
- Physical Therapist
- Apple Valley, CA
National Provider Identifier
1831422476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22775
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00009302 | Other | CA | RAILROAD |
| PT0227750 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.