Organization Active NPI

Valley Physical Therapy Solutions, Inc.

  • Physical Therapy Clinic/Center
  • Modesto, CA
National Provider Identifier
1922647973
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VALLEY PHYSICAL THERAPY SOLUTIONS, INC.
Practice address
2117 Starlight Dr
Modesto, CA 95357-0890
Phone
(217) 257-5283
NPI assigned
Dec 21, 2019
Last updated
Dec 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Authorized official

Name
Michael Gamboa RiveraNPI 1508142902
Title
Director/President
Phone
(217) 257-5283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2117 Starlight Dr
Modesto, CA 95357-0890

Mailing address

2117 Starlight Dr
Modesto, CA 95357-0890
Phone (217) 257-5283

National Provider Directory

National Provider Directory

Locations

1100 Melody Ln
Ste 124
Roseville, CA 95678
Phone (217) 257-5283

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1922647973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 STARLIGHT DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570890",
            "telephone_number": "217-257-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 STARLIGHT DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570890",
            "telephone_number": "217-257-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL THERAPY SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GAMBOA",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "217-257-5283"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.