Individual provider Active NPI

Fuxia Xiong, DPT

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1992262455
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296369 Issued in CA
Practice address
2015 W Park Ave Ste 16
Redlands, CA 92373-6276
Phone
(909) 307-9121
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT296369 CA Primary

Addresses

Primary practice location

2015 W Park Ave Ste 16
Redlands, CA 92373-6276

Mailing address

2015 W Park Ave Ste 16
Redlands, CA 92373-6276
Phone (909) 307-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507003170 CA Practitioner - Physical Therapist in Private Practice 3678815974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Outback Physiotherapy Centre, Inc.Group PAC ID 1951312560, 3 clinicians

Practice addresses (Care Compare)

2015 W Park Ave
Suite 16
Redlands, CA 92373-6276
Phone (909) 307-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT296369CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outback Physiotherapy Centre, Inc. Physical Therapist CurrentSince Feb 1, 2019 Accepting new patients

Locations

2015 W Park Ave
Ste 16
Redlands, CA 92373
Phone (909) 307-9121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1992262455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W PARK AVE STE 16",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736276",
            "telephone_number": "909-307-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W PARK AVE STE 16",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736276",
            "telephone_number": "909-307-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "FUXIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.