NPIMap

Organization Active NPI

Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1912288309
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RANCHO PHYSICAL THERAPY, INC.
Practice address
6850 Brockton Ave Ste 212
Riverside, CA 92506-3815
Phone
(951) 534-0600
Fax
(951) 534-0605
NPI assigned
Aug 30, 2011
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Gabriela Litt
Title
Credentialing Manager
Phone
(951) 696-9353

Specialties & licenses 1

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

Addresses

Primary practice location

6850 Brockton Ave Ste 212
Riverside, CA 92506-3815

Mailing address

30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Phone (951) 696-9353

Other identifiers 1

IdentifierTypeStateIssuer
1912288309MedicaidCA

Other names 1

  • Rancho Physical Therapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001225 CA Part B Supplier - Clinic/Group Practice 2365346491 Receives reassigned benefits from 40 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Murrieta, CA; Victorville, CA; Temecula, CA; Riverside, CA; Rancho Cucamonga, CA; Perris, CA; Moreno Valley, CA; Menifee, CA…

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Rancho Physical Therapy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402

6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1912288309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30428 HAUN RD STE 810",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846824",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE STE 212",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063815",
            "telephone_number": "951-534-0600",
            "fax_number": "951-534-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "LITT",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "951-696-9353"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912288309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rancho Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.