Organization Active NPI

Valley of Imperial Physical Therapy

  • Physical Therapist
  • Brawley, CA
National Provider Identifier
1972617025
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10131 Issued in CA
Legal business name
VALLEY OF IMPERIAL PHYSICAL THERAPY
Practice address
578 G St
Brawley, CA 92227-2411
Phone
(760) 355-4537
Fax
(760) 344-7106
NPI assigned
Aug 18, 2006
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Zenaida S Santos, RPTNPI 1699759506
Title
President
Phone
(760) 344-2157

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 PT10131 CA Primary

Addresses

Primary practice location

578 G St
Brawley, CA 92227-2411

Mailing address

578 G St
Brawley, CA 92227-2411
Phone (760) 355-4537

Other identifiers 1

IdentifierTypeStateIssuer
PT0101310MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1972617025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-355-4537",
            "fax_number": "760-344-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-355-4537",
            "fax_number": "760-344-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF IMPERIAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ZENAIDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-344-2157",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0101310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.