San Dimas Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10823 Issued in CA

Legal business name

SAN DIMAS PHYSICAL THERAPY, INC

Practice address

149 E Bonita Ave
San Dimas, CA 91773-3004

Phone

(626) 261-0519

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Cedomir Saranovic, PT

Title

President

Phone

(626) 261-0519

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1952606618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E BONITA AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733004",
            "telephone_number": "626-261-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E BONITA AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733004",
            "telephone_number": "626-261-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SARANOVIC",
        "authorized_official_first_name": "CEDOMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-261-0519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Dimas Family Care, a Medical Corporation (San Dimas Family Care)
• San Dimas Family Clinic
• San Dimas Operations, LLC
• San Dimas Pathology Associates
• San Dimas Periodontics
• San Dimas Retirement Center LLC (San Dimas Retirement Center)
• San Dimas Surgical Medical Center
• San Dimas Surgical Medical Center Institute Inc.
• San Gabriel Valley Surgical Medical GRP, Inc
• Angel J. Sanchez-Figueras, D.D.S.

• Physical Therapist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.