ORTHOPEDIC PHYSICAL THERAPY INSTITUTE, INC. (NPI# 1619398062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619398062 |
Entity Type | Organization |
Organization Name | ORTHOPEDIC PHYSICAL THERAPY INSTITUTE, INC. |
Other Organization Name | OPTI |
Practice Address |
4028 Dale Rd Suite 101 Modesto CA 95356-9561 |
Practice Telephone | 2093129739 |
Practice Fax Number | 2093129747 |
Mailing Telephone | 2093129739 |
Mailing Fax Number | 2093129747 |
Enumeration Date | 2014-01-01 |
Last Update Date | 2014-03-28 |
Authorized Official Name | DR. TRAVIS BARTELINK (CEO) |
Authorized Official Telephone | 2093129739 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT35400 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
OPTI | Doing Business As Name - Organization |
Street Address |
4028 DALE RD SUITE 101 |
City | MODESTO |
State | CA |
Zip Code | 95356-9561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366480071 | Edward F. Nuccio | Optometrist | 4028 Dale Rd, Suite 102, Modesto, CA 95356-9505 | 2006-06-03 |
1932647005 | Tyler Finfrock | Physical Therapist | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2017-02-08 |
1548409147 | Travis Bartelink | Specialist | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2009-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
Find all providers in zip 95356 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730346420 | Soft Tissue & Myofascial Treatment Inc. | Clinic/Center | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2008-05-20 |
1225029630 | Andersen Physical Therapy, Inc | Clinic/Center | 1917 Coffee Rd, Modesto, CA 95355-2704 | 2005-11-03 |
1326032327 | Valley Subacute & Rehabilitation Center, LLC | Clinic/Center | 515 E Orangeburg Ave, Modesto, CA 95350-5510 | 2005-09-06 |
1578567020 | Vibrantcare Outpatient Rehabilitation of California, Inc. | Clinic/Center | 937 Coffee Rd Ste 900, Modesto, CA 95355-4240 | 2005-06-10 |
1922647973 | Valley Physical Therapy Solutions, Inc. | Clinic/Center | 2117 Starlight Dr, Modesto, CA 95357-0890 | 2019-12-21 |
1275071169 | Elite Physical Therapy | Clinic/Center | 201 E Orangeburg Ave, Ste E, Modesto, CA 95350-5355 | 2017-02-10 |
1962852863 | Progressive Specialty Therapy Services LLC | Clinic/Center | 700 17th St, Modesto, CA 95354-1209 | 2016-06-21 |
1437454436 | Kristina Gibson | Clinic/Center | 3500 Coffee Rd Ste 3, Modesto, CA 95355-1315 | 2011-01-21 |
1104127554 | Biosport Physical Therapy Inc | Clinic/Center | 1933 Coffee Rd, Modesto, CA 95355-2704 | 2010-11-16 |
1265569396 | Parrott Associates Phystherap | Clinic/Center | 201 E Orangeburg Ave, Suite E, Modesto, CA 95350-5355 | 2007-02-27 |
Find all providers in MODESTO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.