Active NPI
Yorba Linda Physical Therapy Inc
- Physical Therapist
- Yorba Linda, CA
National Provider Identifier
1891065892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryNPI 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
- Yorba Linda Care LLC
- Yorba Linda Family Chiropractic, Inc
- Yorba Linda Family Physicians
- Yorba Linda Family Physicians, a Medical Group, Inc.
- Yorba Linda Optometric Vision Center
- Yorba Linda Senior Care Inc.
- Yorba Linda Vision Center Optometric Corporation
- Dominique Younes
- Khemarint Sourn Young, M.D.
- Randolph S Young, DDS
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.