ORTHOPAEDIC PHYSICAL THERAPY INSTITUTE (NPI# 1770700023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770700023 |
Entity Type | Organization |
Organization Name | ORTHOPAEDIC PHYSICAL THERAPY INSTITUTE |
Other Organization Name | OPTI |
Practice Address |
5225 Canyon Crest Dr Suite 205 Riverside CA 92507-6301 |
Practice Telephone | 9516833309 |
Practice Fax Number | 9516831886 |
Mailing Telephone | 9516833309 |
Mailing Fax Number | 9516831886 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-11-28 |
Authorized Official Name | MR. GREGG A OLSEN (OWNER) |
Authorized Official Telephone | 9516833309 |
Authorized Official Credential | P.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RAILROAD MEDICARE PIN | DF4479 | 01 |
CA | BLUE SHIELD | ZZZ30613Z | 01 |
Other Name | Type Code |
---|---|
OPTI | Doing Business As Name - Organization |
Street Address |
5225 CANYON CREST DR SUITE 205 |
City | RIVERSIDE |
State | CA |
Zip Code | 92507-6301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174513741 | Marsie Campbell | Marriage & Family Therapist | 5225 Canyon Crest Dr, Ste 152, Riverside, CA 92507-6301 | 2005-10-25 |
1639780869 | Tu Anh Nguyen | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2020-08-12 |
1598384968 | Renee Colleen Davis | Marriage & Family Therapist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2020-04-15 |
1295145662 | My Dentist and Me Pediatric Dentistry | Dentist | 5225 Canyon Crest Dr, #309, Riverside, CA 92507-6301 | 2014-05-06 |
1093146987 | Alexandra Kantor | Dentist | 5225 Canyon Crest Dr, Suite 209, Riverside, CA 92507-6301 | 2013-12-03 |
1205274354 | Cassandra Zeiler | Social Worker | 5225 Canyon Crest Dr, Bldg. 100, Suite 103, Riverside, CA 92507-6301 | 2013-06-11 |
1801230891 | Evita Marie Rocha | Psychiatry & Neurology | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2013-04-22 |
1053663278 | Alexandria Christine Brent | Dentist | 5225 Canyon Crest Dr, 209, Riverside, CA 92507-6301 | 2012-10-11 |
1992090989 | Tony Ho | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2011-06-17 |
1619281706 | Adel F Zaki | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2010-07-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
Find all providers in zip 92507 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427663475 | Confluent Therapy Solutions, LLC | Clinic/Center | 14 Lunn St, Riverside, RI 02915-1628 | 2020-09-15 |
1922299338 | Total Wellness Inc | Clinic/Center | 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 | 2007-08-09 |
1376661090 | Southern California Occupational Medicine Providers, Amc | Clinic/Center | 1405 Spruce St., Ste. F, Riverside, CA 92507 | 2007-03-27 |
1467530436 | A & G Health Service Inc. | Clinic/Center | 4343 Market St Ste B, Riverside, CA 92501-3517 | 2006-11-01 |
1285190942 | Marketplace Physical Therapy Inc. Apc | Clinic/Center | 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 | 2019-02-18 |
1215284666 | Integrated Injury Management Services Inc | Clinic/Center | 2900 Adams St, C130, Riverside, CA 92504-4335 | 2012-08-03 |
1871810762 | Rivercrest Physical Therapy, Inc. | Clinic/Center | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2010-04-30 |
1144409079 | A&g Health Services, Inc. | Clinic/Center | 4343 Market St Ste B, Riverside, CA 92501-3567 | 2007-10-27 |
1467563643 | Global Rehabilitation Inc. | Clinic/Center | 3590 Central Ave Ste 210, 3590 Central Ave Suite 210, Riverside, CA 92506-2708 | 2006-08-31 |
1215965645 | Orthopaedic Medical Group of Riverside, Inc. | Clinic/Center | 6485 Day St, Suite 303, Riverside, CA 92507-0929 | 2006-06-28 |
Find all providers in RIVERSIDE |
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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.