NPIMap

Organization Active NPI

United Therapy Network Incorporated

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1891914289
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED THERAPY NETWORK INCORPORATED
Practice address
500 N Central Ave Ste 850
Glendale, CA 91203-3354
Phone
(818) 549-9764
Fax
(818) 549-9767
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Gudmundur Heimir Gunnarsson, PT
Title
Ceo/Owner
Phone
(909) 890-9030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

500 N Central Ave Ste 850
Glendale, CA 91203-3354

Mailing address

1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615001046 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234022369 Receives reassigned benefits from 31 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Bernardino, CA; West Covina, CA; Riverside, CA; Rancho Cucamonga, CA; Palm Springs, CA; Indio, CA; Glendale, CA; Corona, CA…

Outpatient physical therapy / speech pathology certification: CCN 056807

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JOSEPH S LUK PHYSICAL THERAPY INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jan 27, 1997
Last certification
Dec 7, 2016
Ownership / control type
Proprietary
Facility address
500 N Central Avenue, Suite 350
Glendale, CA 91203

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
United Therapy Network Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1230 E Washington St
Ste 2PA
Colton, CA 92324
Phone (909) 825-6716

500 N Central Ave
Ste 440
Glendale, CA 91203
Phone (818) 558-3929

13732 Ventura Blvd
#B
Sherman Oaks, CA 91423
Phone (818) 728-6577

Practitioners & affiliated clinicians

Practitioners 10

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1891914289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083434",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 850",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033354",
            "telephone_number": "818-549-9764",
            "fax_number": "818-549-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPY NETWORK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "GUNNARSSON",
        "authorized_official_first_name": "GUDMUNDUR",
        "authorized_official_middle_name": "HEIMIR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-890-9030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.