Organization Active NPI

Rapha Physical Therapy

  • Multi-Specialty Clinic/Center
  • Montclair, CA
National Provider Identifier
1871906461
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
8111 Issued in CA
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

Updated by the provider on Jun 11, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.