Active NPI
Jack Vertrees, PT
- Physical Therapist
- Fresno, CA
National Provider Identifier
1851679997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37492
- Practice address
- 7065 N Maple Ave
Suite 104
Fresno, CA 93720-8013 - Phone
- (559) 299-9989
- Fax
- (559) 299-9979
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37492 | CA | Primary |
Addresses
Primary practice location
7065 N Maple Ave
Suite 104
Fresno, CA 93720-8013
Mailing address
7065 N Maple Ave
Suite 104
Fresno, CA 93720-8013
Phone (559) 299-9989
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37492 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troxell Physical Therapy and Wellness Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1851679997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7065 N MAPLE AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208013",
"telephone_number": "559-299-9989",
"fax_number": "559-299-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 N MAPLE AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937208013",
"telephone_number": "559-299-9989",
"fax_number": "559-299-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTREES",
"first_name": "JACK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.