Organization Active NPI

Ridgecrest Physical Therapy

  • Occupational Therapist
  • Ridgecrest, CA
National Provider Identifier
1912923624
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5714 Issued in CA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT106310 CA
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.