Active NPI
Rapha Physical Therapy
- Multi-Specialty Clinic/Center
- Montclair, CA
National Provider Identifier
1871906461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 8111
- Legal business name
- RAPHA PHYSICAL THERAPY
- Practice address
- 4959 Palo Verde St Ste 104a
Montclair, CA 91763-2345 - Phone
- (909) 971-3092
- Fax
- (909) 971-3261
- NPI assigned
- Jun 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joscelyn Washington
- Title
- Ceo/Owner
- Phone
- (909) 971-3092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 8111 | CA | Primary |
Addresses
Primary practice location
4959 Palo Verde St Ste 104a
Montclair, CA 91763-2345
Mailing address
4959 Palo Verde St Ste 104a
Montclair, CA 91763-2345
Phone (909) 971-3092
National Provider Directory
National Provider DirectoryLocations
4959 Palo Verde St
Ste 104A
Montclair, CA 91763
Phone (909) 624-6878
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- San Bernardino, CA
- NPI 1740052125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402444800000",
"number": "1871906461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4959 PALO VERDE ST STE 104A",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632345",
"telephone_number": "909-971-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 PALO VERDE ST STE 104A",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632345",
"telephone_number": "909-971-3092",
"fax_number": "909-971-3261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHA PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "JOSCELYN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "909-971-3092"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "CA",
"license": "8111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.