Tmi Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25665 Issued in CA

Legal business name

TMI PHYSICAL THERAPY, INC.

Practice address

30099 Reservoir Ave
Nuevo, CA 92567-9779

Phone

(951) 928-0773

Fax

(951) 928-2535

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Tali M Manthey, M.P.T.

Title

Physical Therapist

Phone

(951) 928-0773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1942572011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30099 RESERVOIR AVE",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925679779",
            "telephone_number": "951-928-0773",
            "fax_number": "951-928-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30099 RESERVOIR AVE",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925679779",
            "telephone_number": "951-928-0773",
            "fax_number": "951-928-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMI PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MANTHEY",
        "authorized_official_first_name": "TALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "951-928-0773",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.