Active NPI
Ridgecrest Physical Therapy
- Occupational Therapist
- Ridgecrest, CA
National Provider Identifier
1912923624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT5714
- Legal business name
- RIDGECREST PHYSICAL THERAPY
- Practice address
- 459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685 - Phone
- (760) 371-1606
- Fax
- (760) 371-1565
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kym Arnold, OTR/L
- Title
- Staff Therapist / Office Manager
- Phone
- (760) 371-1606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT106310 | CA | |
| Occupational Therapist | 225X00000X | OT5714 | CA | Primary |
Addresses
Primary practice location
459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685
Mailing address
459 S China Lake Blvd Ste H
Ridgecrest, CA 93555-4685
Phone (760) 371-1606
National Provider Directory
National Provider DirectoryLocations
459 S China Lake Blvd
Ste H
Ridgecrest, CA 93555
Phone (760) 371-1601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Ridgecrest, CA
- NPI 1770538761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1912923624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 S CHINA LAKE BLVD STE H",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935554685",
"telephone_number": "760-371-1606",
"fax_number": "760-371-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 S CHINA LAKE BLVD STE H",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935554685",
"telephone_number": "760-371-1606",
"fax_number": "760-371-1565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGECREST PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "KYM",
"authorized_official_title_or_position": "STAFF THERAPIST / OFFICE MANAGER",
"authorized_official_telephone_number": "760-371-1606",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT106310",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT5714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
- Ridgecrest Dermatology and Skin Cancer PC
- Ridgecrest Healthcare, Inc.
- Ridgecrest Medical Supply
- Ridgecrest Medical Transport Corporation
- Ridgecrest Medical Transportation
- Ridgecrest Regional Hospital
- Ridgecrest Regional Hospital
- Ridgecrest Regional Hospital
- Ridgecrest Regional Hospital
- Ridgecrest Regional Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.