Organization Active NPI

C O R E Physical Therapy of Visalia Inc

Doing business as Comprehensive Orthopedic Rehabilitation & Education

  • Speech-Language Pathologist
  • Visalia, CA
National Provider Identifier
1912038456
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9406 Issued in CA
Legal business name
C O R E PHYSICAL THERAPY OF VISALIA INC
Doing business as
Comprehensive Orthopedic Rehabilitation & Education
Practice address
1138 N Chinowth St
Visalia, CA 93291
Phone
(559) 679-2797
Fax
(559) 713-1234
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Mrs. Leticia Pantoja York, M.A.,CCC,SLP
Title
Speech Language Pathologist
Phone
(559) 967-1320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 9406 CA Primary

Addresses

Primary practice location

1138 N Chinowth St
Visalia, CA 93291

Mailing address

2805 W Elowin CT
Visalia, CA 93291-2688
Phone (559) 636-7994

Other names 1

  • Comprehensive Orthopedic Rehabilitation & Education Doing business as

National Provider Directory

National Provider Directory

Locations

1138 N Chinowth St
Visalia, CA 93291
Phone (559) 679-2797

Practitioners & affiliated clinicians

Practitioners 2

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1912038456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 W ELOWIN CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932912688",
            "telephone_number": "559-636-7994",
            "fax_number": "559-636-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-679-2797",
            "fax_number": "559-713-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C O R E PHYSICAL THERAPY OF VISALIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "PANTOJA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "559-967-1320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,CCC,SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Orthopedic Rehabilitation & Education",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Orthopedic Rehabilitation & Education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.