Organization Active NPI

Valley Physical Therapy

  • Specialist
  • San Bernardino, CA
National Provider Identifier
1982912267
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 21672 Issued in CA
Legal business name
VALLEY PHYSICAL THERAPY
Practice address
688 N Arrowhead Ave Ste 101B
San Bernardino, CA 92401-1144
Phone
(909) 885-7200
Fax
(909) 885-7272
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mr. Leonardo Carlito, MPT
Title
Owner
Phone
(909) 885-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT 21672 CA Primary

Addresses

Primary practice location

688 N Arrowhead Ave Ste 101B
San Bernardino, CA 92401-1144

Mailing address

688 N Arrowhead Ave Ste 101B
San Bernardino, CA 92401-1144
Phone (909) 885-7200

National Provider Directory

National Provider Directory

Locations

688 N Arrowhead Ave
Ste 101B
Sn Bernrdno, CA 92401
Phone (909) 885-7200

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1982912267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 N ARROWHEAD AVE STE 101B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011144",
            "telephone_number": "909-885-7200",
            "fax_number": "909-885-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 N ARROWHEAD AVE STE 101B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011144",
            "telephone_number": "909-885-7200",
            "fax_number": "909-885-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "CARLITO",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-885-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 21672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.