Individual provider Active NPI

Joseph Raymond Reddington, PT

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1861692915
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23061 Issued in CA
Practice address
1182 SE Bristol St
Santa Ana, CA 92707-5302
Phone
(717) 546-5433
Fax
(714) 546-8616
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23061 CA Primary

Addresses

Primary practice location

1182 SE Bristol St
Santa Ana, CA 92707-5302

Mailing address

1182 SE Bristol St
Santa Ana, CA 92707-5302
Phone (714) 546-5433

Other identifiers 1

IdentifierTypeStateIssuer
23061OtherCALICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Slusher Chiropractic Life Center Inc. Past Accepting new patients
Samimi Orthopedic Group, Inc. Past Accepting new patients
Paalani Chiropratic Inc. PastSince Dec 19, 2016 Accepting new patients

Organizations & group practices 3

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1861692915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 SE BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075302",
            "telephone_number": "714-546-5433",
            "fax_number": "717-546-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 SE BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075302",
            "telephone_number": "717-546-5433",
            "fax_number": "714-546-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDINGTON",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "23061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.