FITZPATRICK PHYSICAL THERAPY INC. (NPI# 1295783900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295783900 |
| Entity Type | Organization |
| Organization Name | FITZPATRICK PHYSICAL THERAPY INC. |
| Practice Address |
1252 Broadway Suite B Placerville CA 95667-5806 |
| Practice Telephone | 5306229410 |
| Practice Fax Number | 5306229445 |
| Mailing Telephone | 5306229410 |
| Mailing Fax Number | 5306229445 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARIAN CLAIRE FITZPATRICK (PRESIDENT) |
| Authorized Official Telephone | 5306229410 |
| 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 | BLUE SHIELD ID # | ZZZ64235Z | 01 |
| Street Address |
1252 BROADWAY SUITE B |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659329456 | Marian Claire Fitzpatrick | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5806 | 2006-05-04 |
| 1962034934 | Orion Tomada | Physical Therapist | 1252 Broadway, Placerville, CA 95667-5822 | 2020-02-07 |
| 1790206548 | Alexander Hulisz | Physical Therapist | 1252 Broadway, Placerville, CA 95667-5822 | 2017-07-02 |
| 1053855205 | Anna Galloway | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5827 | 2016-12-07 |
| 1689042558 | Madeleine P Smiley | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5822 | 2015-09-09 |
| 1750721270 | Teresa Blubaugh | Physical Therapy Assistant | 1252 Broadway, Suite B, Placerville, CA 95667-5822 | 2013-06-28 |
| 1811281363 | Lori Adams | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5822 | 2011-06-01 |
| 1366676306 | Shauna Goss | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5822 | 2009-05-05 |
| 1255340956 | Scott Anthony Ubrick | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5806 | 2006-08-05 |
| 1841236213 | Leah Renee Mikla | Physical Therapist | 1252 Broadway, Suite B, Placerville, CA 95667-5806 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992847081 | Marshall Medical | Clinic/Center | 1081 Marshall Way, Suite C, Placerville, CA 95667-5706 | 2007-02-13 |
| 1326118209 | Advanced Physical Therapy | Clinic/Center | 3084 Cedar Ravine Rd, Placerville, CA 95667-5617 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.