Cofordo, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7811 Issued in CA

Legal business name

COFORDO, INC.

Doing business as

Orchard Plaza Therapy Clinic

Practice address

9116 Foothill Blvd
Suite 102
Rancho Cucamonga, CA 91730-6564

Phone

(909) 941-7177

Fax

(909) 941-7179

NPI assigned

Jun 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Moore, P.T. ASSISTANTNPI 1417976754

Title

Administrator

Phone

(909) 941-7177

Specialties & licenses 1

Addresses

Other names 1

• ORCHARD PLAZA THERAPY CLINIC Doing business as

Locations

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.

• Lisa Kathleen Moore, PTA

  • Physical Therapy Assistant
  • Rancho Cucamonga, CA
  • NPI 1417976754
  NPD (past) Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942236351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 FOOTHILL BLVD",
            "address_2": "SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306564",
            "telephone_number": "909-941-7177",
            "fax_number": "909-941-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 FOOTHILL BLVD",
            "address_2": "SUITE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306564",
            "telephone_number": "909-941-7177",
            "fax_number": "909-941-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFORDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-941-7177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T. ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORCHARD PLAZA THERAPY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven R. Cobb, M.D.
• Lakeysha L Cobbs-Hayes, BCBA
• Angela Jo Cochran, PA
• Jordyn Marie Cochran
• Stephanie Coffman
• Harvey Donald Cohen, MD
• Marissa C Cohran
• Jillian Dewitt Coker
• Jasmin Melchor Colansong
• Madison Elizabeth Colbert, FNP-C

• Physical Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Therapist 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.