Active NPI
Daniel Thour
- Physical Therapist
- Ridgecrest, CA
National Provider Identifier
1861811226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38376
- Practice address
- 540 Perdew Ave Ste C
Ridgecrest, CA 93555-2596 - Phone
- (760) 446-3611
- NPI assigned
- Apr 15, 2014
- 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 | 38376 | CA | Primary |
Addresses
Primary practice location
540 Perdew Ave Ste C
Ridgecrest, CA 93555-2596
Mailing address
708 S Park PL
Saint Cloud, MN 56301-5832
Other practice location 1
1025 Marsh St
Mankato, MN 56001-4752
Phone (075) 625-4031
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38376 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1861811226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S PARK PL",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563015832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PERDEW AVE STE C",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935552596",
"telephone_number": "760-446-3611"
}
],
"practiceLocations": [
{
"address_1": "1025 Marsh St",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560014752",
"country_code": "US",
"telephone_number": "075-625-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOUR",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.