Stockton Physical Therapy and Lymphedema Clinic, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT25932 Issued in CA

Legal business name

STOCKTON PHYSICAL THERAPY AND LYMPHEDEMA CLINIC, INC

Practice address

221 Tuxedo CT
Suite - B
Stockton, CA 95204-5261

Phone

(209) 464-0200

Fax

(209) 464-0220

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Virtu Arora, PTNPI 1730292632

Title

Physical Therapist

Phone

(209) 464-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virtu Arora, P.T.

  • Physical Therapist
  • Stockton, CA
  • NPI 1730292632
  NPD (past) Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1992990865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TUXEDO CT",
            "address_2": "SUITE - B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045261",
            "telephone_number": "209-464-0200",
            "fax_number": "209-464-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TUXEDO CT",
            "address_2": "SUITE - B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045261",
            "telephone_number": "209-464-0200",
            "fax_number": "209-464-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON PHYSICAL THERAPY AND LYMPHEDEMA CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "VIRTU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "209-464-0200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT25932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockton Pathology Medical Group
• Stockton Pathology Medical Group
• Stockton Pediatric Med. Group, Inc.
• Stockton Pharmacy
• Stockton Pharmacy
• Stockton Pregnancy Control Medical Clinic
• Stockton Regional Rehabilitation Hospital LLC
• Stockton Sleep Center Inc
• Stockton Sleep Disorders Medical Group LP
• Stockton Unified School District

• Physical Therapy Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.