Organization Active NPI

Edizon Physical Therapy Inc.

  • Physical Therapist
  • Adelanto, CA
National Provider Identifier
1972526358
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EDIZON PHYSICAL THERAPY INC.
Practice address
11336 Bartlett Ave Ste 11
Adelanto, CA 92301-1950
Phone
(760) 246-8846
Fax
(760) 246-3118
NPI assigned
Jul 26, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mr. Hendrick D Ganding, PTNPI 1700815495
Title
President/Physical Therapist
Phone
(760) 246-8846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

11336 Bartlett Ave Ste 11
Adelanto, CA 92301-1950

Mailing address

11336 Bartlett Ave Ste 11
Adelanto, CA 92301-1950
Phone (760) 246-8846

National Provider Directory

National Provider Directory

Locations

18391 Colima Rd
Rowland Heights, CA 91748
Phone (419) 357-7442

18391 Colima Rd
Ste 205
Rowland Heights, CA 91748
Phone (626) 964-3326

Practitioners & affiliated clinicians

Practitioners 3

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1972526358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 BARTLETT AVE STE 11",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011950",
            "telephone_number": "760-246-8846",
            "fax_number": "760-246-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 BARTLETT AVE STE 11",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011950",
            "telephone_number": "760-246-8846",
            "fax_number": "760-246-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIZON PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "GANDING",
        "authorized_official_first_name": "HENDRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-246-8846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelanto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.