Old Town Physical Therapy Co

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OLD TOWN PHYSICAL THERAPY CO

Practice address

600 Tiger Lily LN
Imperial, CA 92251-8930

Phone

(619) 818-8609

NPI assigned

Apr 13, 2026

Last updated

Jul 22, 2026By 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

Emiliano E Chavez, CCC-SLPNPI 1619263449

Title

President

Phone

(619) 818-8609

Specialties & licenses 2

Addresses

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.

• Emiliano Chavez, CCC-SLP

  • Speech-Language Pathologist
  • Imperial, CA
  • NPI 1619263449
  NPD Authorized official

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1952244204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TIGER LILY LN",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518930",
            "telephone_number": "619-818-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TIGER LILY LN",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518930",
            "telephone_number": "619-818-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN PHYSICAL THERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "EMILIANO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-818-8609",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson B Musgrave DDS Inc
• Bernardo NG, M.D
• Clay Moore Nichols, DDS
• Julian Guadalupe Nubes
• Jaylene Alessey Ojeda
• Yadira Olivas, MA
• Rogelio Guillermo Ortega, MD
• Vachaspathi Palakodeti, MD
• Juan Villareal Palma Jr., ATC
• Georgina Paz

• Physical Therapist in Imperial, CA
• Providers in Imperial, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.