Active NPI
Roberto C Infante, PT
- Physical Therapist
- Arroyo Grande, CA
National Provider Identifier
1891701488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32949
- Practice address
- 1510 W Branch St
Arroyo Grande, CA 93420-1817 - Phone
- (805) 489-7912
- Fax
- (805) 489-9697
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2156 | GA | |
| Physical Therapist | 225100000X | 32949 | CA | Primary |
| Athletic Trainer | 2255A2300X | 106 | GA |
Addresses
Primary practice location
1510 W Branch St
Arroyo Grande, CA 93420-1817
Mailing address
805 Aerovista PL
#201
San Luis Obispo, CA 93401-7919
Phone (805) 788-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106 | GA | MD | Behavior Technician |
| 32949 | CA | MD | Physical Therapist |
| 2156 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Atascadero, CA
- NPI 1225046824
Physical Therapist
-
- Physical Therapy Clinic/Center
- Pismo Beach, CA
- NPI 1235147828
Physical Therapist
-
- Physical Therapy Clinic/Center
- Stockton, CA
- NPI 1578354239
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1891701488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 AEROVISTA PL",
"address_2": "#201",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017919",
"telephone_number": "805-788-0805",
"fax_number": "805-788-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 W BRANCH ST",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934201817",
"telephone_number": "805-489-7912",
"fax_number": "805-489-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE",
"first_name": "ROBERTO",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "2156",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32949",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.