NPIMap

Organization Active NPI

Creative Therapeutics Physical Therapy, Inc.

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1861444119
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CREATIVE THERAPEUTICS PHYSICAL THERAPY, INC.
Practice address
2763 E Shaw Ave
#102
Fresno, CA 93710-8220
Phone
(559) 294-8112
Fax
(559) 294-7805
NPI assigned
May 16, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Mrs. Katinka E Yepez
Title
Practice Administrator
Phone
(559) 294-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

2763 E Shaw Ave
#102
Fresno, CA 93710-8220

Mailing address

2763 E Shaw Ave
#102
Fresno, CA 93710-8220
Phone (559) 294-8112

National Provider Directory

National Provider Directory

Locations

2763 E Shaw Ave
Ste 102
Fresno, CA 93710
Phone (559) 294-8112

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1861444119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 E SHAW AVE",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108220",
            "telephone_number": "559-294-8112",
            "fax_number": "559-294-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 E SHAW AVE",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108220",
            "telephone_number": "559-294-8112",
            "fax_number": "559-294-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPEUTICS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "YEPEZ",
        "authorized_official_first_name": "KATINKA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "559-294-8112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "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 Mar 31, 2014; 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.