Organization Active NPI

Team Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Victorville, CA
National Provider Identifier
1881925600
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
DC27742 Issued in CA
Legal business name
TEAM THERAPY AND REHABILITATION, INC
Practice address
13024 Hesperia Rd
Suite 101
Victorville, CA 92395-8302
Phone
(760) 951-4811
Fax
(760) 951-4833
NPI assigned
Jan 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Mr. Andrew Adedapo Adesida, P.A.
Title
Owner
Phone
(760) 951-4811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X DC27742 CA Primary
Physical Therapy Clinic/Center 261QP2000X AC12285 CA

Addresses

Primary practice location

13024 Hesperia Rd
Suite 101
Victorville, CA 92395-8302

Mailing address

13024 Hesperia Rd
Suite 101
Victorville, CA 92395-8302
Phone (760) 951-4811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1881925600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD",
            "address_2": "SUITE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958302",
            "telephone_number": "760-951-4811",
            "fax_number": "760-951-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD",
            "address_2": "SUITE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958302",
            "telephone_number": "760-951-4811",
            "fax_number": "760-951-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM THERAPY AND REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "ADESIDA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ADEDAPO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-951-4811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "DC27742",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "AC12285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.