Active NPI
Linda Pry, MA
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1841323904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2555 E Colorado Blvd
Suite 100-101
Pasadena, CA 91107-6622 - Phone
- (626) 577-2261
- Fax
- (626) 577-2543
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2555 E Colorado Blvd
Suite 100-101
Pasadena, CA 91107-6622
Mailing address
15131 Carnation St
Fontana, CA 92336-3177
Phone (909) 829-6619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRI3299 | Other | CA | DMH STAFF CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841323904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15131 CARNATION ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363177",
"telephone_number": "909-829-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD",
"address_2": "SUITE 100-101",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261",
"fax_number": "626-577-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRY",
"first_name": "LINDA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMH STAFF CODE",
"identifier": "TRI3299",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.