Organization Active NPI

Spitzer'S Physical Therapy and Personal Training Center, Inc.

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1902005333
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPITZER'S PHYSICAL THERAPY AND PERSONAL TRAINING CENTER, INC.
Practice address
524 S Clovis Ave Ste I
Fresno, CA 93727-4529
Phone
(559) 322-5345
Fax
(559) 322-5041
NPI assigned
Jul 16, 2007
Organization subpart
Yes
Parent organization
SPITZER'S PHYSICAL THERAPY AND PERSONAL TRAINING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Mr. Dennis Keith Spitzer, PT
Title
President
Phone
(559) 322-5345

Specialties & licenses 1

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

Addresses

Primary practice location

524 S Clovis Ave Ste I
Fresno, CA 93727-4529

Mailing address

615 4TH St
Clovis, CA 93612-1124
Phone (559) 322-5345

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ08120ZOtherCABLUE SHIELD
184456400OtherCADEPARTMENT OF LABOR

Other names 1

  • SPITZER'S PHYSICAL THERAPY, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spitzers Physical Therapy and Personal Training Center Inc2 organizations share this tax ID, including this one
Part of
Spitzers Physical Therapy and Personal Training Center Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1902005333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 4TH ST",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121124",
            "telephone_number": "559-322-5345",
            "fax_number": "559-322-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S CLOVIS AVE STE I",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274529",
            "telephone_number": "559-322-5345",
            "fax_number": "559-322-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPITZER'S PHYSICAL THERAPY AND PERSONAL TRAINING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPITZER'S PHYSICAL THERAPY AND PERSONAL TRAINING CENTER, INC.",
        "enumeration_date": "2007-07-16",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-322-5345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08120Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "184456400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPITZER'S PHYSICAL THERAPY, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.