Rendonphysical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33584 Issued in CA

Legal business name

RENDONPHYSICAL THERAPY

Practice address

11306 Mountain View Ave Ste a-100
Loma Linda, CA 92354-3832

Phone

(909) 796-0012

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Abel A Rendon, DPT, DSC, PTNPI 1598971871

Title

Owner/ Ceo

Phone

(909) 796-0012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abel Angel Rendon, P.T.

  • Physical Therapist
  • Loma Linda, CA
  • NPI 1598971871
  NPD Authorized official

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1851893101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE A-100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-796-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE A-100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-796-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENDONPHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "909-796-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, DSC, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Lea Reis, RPT
• Jill Elizabeth Reiss, MD
• Philip Henry Reiswig, M.D.
• Shannon Tierney Remick, M.D.
• Abel Angel Rendon, P.T.
• Dean Nicholas Renna Jr.
• Claudia Renteria, LCSW
• Daniel Stephen Resnick, DO, MBA
• Breanna Richelle Reyes-Garcia
• Carolina Reyes

• Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.