Organization Active NPI

Stonemountain Physical Therapy

  • Specialist
  • Tehachapi, CA
National Provider Identifier
1881928893
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT3215 Issued in CA
Legal business name
STONEMOUNTAIN PHYSICAL THERAPY
Practice address
21628 Golden Star Blvd
Tehachapi, CA 93561-8607
Phone
(661) 823-8101
Fax
(661) 823-8108
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Daniel L Steinberg, P.T.NPI 1396918504
Title
Owner
Phone
(661) 823-8101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT3215 CA Primary

Addresses

Primary practice location

21628 Golden Star Blvd
Tehachapi, CA 93561-8607

Mailing address

21628 Golden Star Blvd
Tehachapi, CA 93561-8607
Phone (661) 823-8101

Other identifiers 2

IdentifierTypeStateIssuer
BU979ZOtherMEDICARE PTAN
1396918504OtherINDIVIDUAL MEDICARE NPI

National Provider Directory

National Provider Directory

Locations

21628 Golden Star Blvd
Tehachapi, CA 93561
Phone (661) 331-1555

Practitioners & affiliated clinicians

Practitioners 3

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": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1881928893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21628 GOLDEN STAR BLVD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618607",
            "telephone_number": "661-823-8101",
            "fax_number": "661-823-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21628 GOLDEN STAR BLVD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618607",
            "telephone_number": "661-823-8101",
            "fax_number": "661-823-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEMOUNTAIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-823-8101",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT3215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BU979Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE NPI",
            "identifier": "1396918504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.