Canyon Ranch Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT25067 Issued in CA

Legal business name

CANYON RANCH PHYSICAL THERAPY, INC.

Practice address

7710 Stewart St
Colton, CA 92324-9626

Phone

(909) 370-2270

Fax

(909) 370-2288

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Miss Danelle S Kern, MPT

Title

President

Phone

(909) 370-2270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932303369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 STEWART ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249626",
            "telephone_number": "909-370-2270",
            "fax_number": "909-370-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 STEWART ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249626",
            "telephone_number": "909-370-2270",
            "fax_number": "909-370-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RANCH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "DANELLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-370-2270",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT25067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Campbell
• Gloria Rose Campbell, CAADE
• Sonia Angelica Campos Oliveira, MS, APCC
• Arly Canizales-Matute
• Mai-CHI N Cantuba
• Kristy Thanh Cao, PHARM.D
• Victor Cao
• Cape Cod Bay Holdings LLC
• Elizabeth Carbajal
• Yazmin Carbajal

• Physical Therapy Clinic/Center in Colton, CA
• Providers in Colton, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.