Organization Active NPI

Total Wellness Inc

  • Physical Therapy Clinic/Center
  • Riverside, CA
National Provider Identifier
1922299338
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT12634 Issued in CA
Legal business name
TOTAL WELLNESS INC
Practice address
3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188
Phone
(951) 376-3380
Fax
(951) 684-2980
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Michael Rappaport
Title
Ceo
Phone
(951) 684-2874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT12634 CA Primary

Addresses

Primary practice location

3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188

Mailing address

3191B Mission Inn Ave
Riverside, CA 92507-4138
Phone (951) 684-2874

Other practice location 1

4270 Riverwalk Pkwy Ste 112
Riverside, CA 92505-3374
Phone (951) 324-4291

Other practice location 2

14682 Central Ave
Chino, CA 91710-9505
Phone (951) 684-2874

Other practice location 3

1620 E 2nd St Ste I
Beaumont, CA 92223-3172
Phone (951) 370-1325

Other practice location 4

500 Orange St
Redlands, CA 92374-3208
Phone (951) 376-3380

Other names 1

  • Marketplace Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129001124 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082517784 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaumont, CA; Chino, CA; Redlands, CA; Riverside, CA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Marketplace Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

500 Orange St
Redlands, CA 92374
Phone (951) 376-3380

4270 Riverwalk Pkwy
Ste 112
Riverside, CA 92505
Phone (951) 324-4291

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1922299338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191B MISSION INN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074138",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 MISSION INN AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074188",
            "telephone_number": "951-376-3380",
            "fax_number": "951-684-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4270 Riverwalk Pkwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053374",
            "country_code": "US",
            "telephone_number": "951-324-4291",
            "fax_number": "951-684-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14682 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917109505",
            "country_code": "US",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 E 2nd St Ste I",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922233172",
            "country_code": "US",
            "telephone_number": "951-370-1325",
            "fax_number": "951-684-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Orange St",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923743208",
            "country_code": "US",
            "telephone_number": "951-376-3380",
            "fax_number": "951-684-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-684-2874"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT12634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marketplace Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marketplace Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2019; 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.