Individual provider Active NPI

Josephine Padilla Quicho, P.T.

  • Physical Therapist
  • City of Industry, CA
National Provider Identifier
1912065913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21514 Issued in CA
Practice address
16025 Gale Ave
Suite B-8
City of Industry, CA 91745-1600
Phone
(626) 333-3172
Fax
(626) 333-3163
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21514 CA Primary

Addresses

Primary practice location

16025 Gale Ave
Suite B-8
City of Industry, CA 91745-1600

Mailing address

16025 Gale Ave
Suite B-8
City of Industry, CA 91745-1600
Phone (626) 333-3172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000577 CA Practitioner - Physical Therapist in Private Practice 0042317562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21514CAMDClinical Social Worker
PT21514CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Unlimited Corporation Physical Therapist Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912065913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 GALE AVE",
            "address_2": "SUITE B-8",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917451600",
            "telephone_number": "626-333-3172",
            "fax_number": "626-333-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16025 GALE AVE",
            "address_2": "SUITE B-8",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917451600",
            "telephone_number": "626-333-3172",
            "fax_number": "626-333-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICHO",
        "first_name": "JOSEPHINE",
        "middle_name": "PADILLA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.