NPIMap

Organization Active NPI

James Mawhiney Physical Therapy Inc

  • Physical Therapist
  • Bermuda Dunes, CA
National Provider Identifier
1851784177
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37283 Issued in CA
Legal business name
JAMES MAWHINEY PHYSICAL THERAPY INC
Practice address
78078 Country Club Dr
Suite 205
Bermuda Dunes, CA 92203-8173
Phone
(760) 345-9934
Fax
(760) 345-3086
NPI assigned
Mar 11, 2015
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
James R. Mawhiney, PT, DPTNPI 1851603138
Title
Owner
Phone
(253) 736-3219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37283 CA Primary

Addresses

Primary practice location

78078 Country Club Dr
Suite 205
Bermuda Dunes, CA 92203-8173

Mailing address

78078 Country Club Dr
Suite 205
Bermuda Dunes, CA 92203-8173
Phone (760) 345-9934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170123001737 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698056042 Receives reassigned benefits from 15 practitioners
Practice locations: Bermuda Dunes, CA; Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

76375 Country Club Dr
Palm Desert, CA 92211
Phone (760) 345-9934

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1851784177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR",
            "address_2": "SUITE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038173",
            "telephone_number": "760-345-9934",
            "fax_number": "760-345-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR",
            "address_2": "SUITE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038173",
            "telephone_number": "760-345-9934",
            "fax_number": "760-345-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MAWHINEY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MAWHINEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-736-3219",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.