NPIMap

Organization Active NPI

Chaparral Physical Therapy, Inc

  • Physical Therapist
  • Hesperia, CA
National Provider Identifier
1982630455
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12940 Issued in CA
Legal business name
CHAPARRAL PHYSICAL THERAPY, INC
Practice address
15555 Main St
Ste 14a
Hesperia, CA 92345-3466
Phone
(760) 244-4288
Fax
(760) 244-0300
NPI assigned
Jun 24, 2006
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mr. Tracy L Malan, PTNPI 1154323020
Title
Owner
Phone
(760) 256-1888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT12940 CA Primary

Addresses

Primary practice location

15555 Main St
Ste 14a
Hesperia, CA 92345-3466

Mailing address

15555 Main St
Ste 14a
Hesperia, CA 92345-3466
Phone (760) 244-4288

National Provider Directory

National Provider Directory

Locations

15555 Main St
Ste A14
Hesperia, CA 92345
Phone (760) 244-4288

Practitioners & affiliated clinicians

Practitioners 4

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1982630455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 MAIN ST",
            "address_2": "STE 14A",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453466",
            "telephone_number": "760-244-4288",
            "fax_number": "760-244-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15555 MAIN ST",
            "address_2": "STE 14A",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453466",
            "telephone_number": "760-244-4288",
            "fax_number": "760-244-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPARRAL PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "MALAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-256-1888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.