Organization Active NPI

Yorba Linda Physical Therapy Inc

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1891065892
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YORBA LINDA PHYSICAL THERAPY INC
Practice address
16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046
Phone
(714) 577-0745
Fax
(714) 577-8653
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Mr. Jonathan Dockery
Title
Vice President of Revenue Cycle
Phone
(760) 602-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046

Mailing address

16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046
Phone (714) 577-0745

Other names 1

  • Yorba Linda Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1891065892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16615 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862046",
            "telephone_number": "714-577-0745",
            "fax_number": "714-577-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862046",
            "telephone_number": "714-577-0745",
            "fax_number": "714-577-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORBA LINDA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REVENUE CYCLE",
        "authorized_official_telephone_number": "760-602-4105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorba Linda Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.