NPIMap

Organization Active NPI

Xcel Orthopaedic Physical Therapy

  • Physical Therapist
  • Ripon, CA
National Provider Identifier
1952511461
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15780 Issued in CA
Legal business name
XCEL ORTHOPAEDIC PHYSICAL THERAPY
Practice address
103 E Main St
Ripon, CA 95366-2416
Phone
(209) 599-7073
Fax
(209) 599-7074
NPI assigned
May 23, 2007
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Ms. Devra Anne Bommarito, PTNPI 1093931503
Title
President
Phone
(209) 599-7073

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 15780 CA Primary

Addresses

Primary practice location

103 E Main St
Ripon, CA 95366-2416

Mailing address

103 E Main St
Ripon, CA 95366-2416
Phone (209) 599-7073

National Provider Directory

National Provider Directory

Locations

101 W Main St
Ripon, CA 95366
Phone (209) 599-7073

103 E Main St
Ripon, CA 95366
Phone (209) 253-0740

Practitioners & affiliated clinicians

Practitioners 5

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1952511461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953662416",
            "telephone_number": "209-599-7073",
            "fax_number": "209-599-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953662416",
            "telephone_number": "209-599-7073",
            "fax_number": "209-599-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL ORTHOPAEDIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "BOMMARITO",
        "authorized_official_first_name": "DEVRA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-599-7073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.