FIT FOREVER PHYSICAL THERAPY, INC. (NPI# 1518078203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518078203 |
| Entity Type | Organization |
| Organization Name | FIT FOREVER PHYSICAL THERAPY, INC. |
| Other Organization Name | GRAND TERRACE PHYSICAL THERAPY |
| Practice Address |
12139 Mount Vernon Ave #110 Grand Terrace CA 92313-5586 |
| Practice Telephone | 9093703396 |
| Mailing Telephone | 9093703396 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHEONG KIM (CEO) |
| Authorized Official Telephone | 9093703396 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT27372 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Grand Terrace Physical Therapy | Doing Business As Name - Organization |
| Street Address |
12139 MOUNT VERNON AVE #110 |
| City | GRAND TERRACE |
| State | CA |
| Zip Code | 92313-5586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578519104 | Alvin Obmana Llamas | Occupational Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2006-05-25 |
| 1295118768 | Debonaire Hospice, Inc. | Hospice Care, Community Based | 12139 Mount Vernon Ave, Ste 202, Grand Terrace, CA 92313-5562 | 2015-07-02 |
| 1578861399 | Myungjin Kim | Physical Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2011-03-02 |
| 1720263304 | Eric Johnson | Physical Therapist | 12139 Mount Vernon Ave, Grand Terrace, CA 92313-5586 | 2008-01-02 |
| 1578651832 | Christina Elizabeth Brodbeck | Physical Therapist | 12139 Mount Vernon Ave, 110, Grand Terrace, CA 92313-5586 | 2006-10-11 |
| 1225072911 | Cheong Kim | Physical Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427321322 | Noelle Angelica Leon | Technician, Pathology | 22799 Desoto Street, Grand Terrace, CA 92313 | 2012-02-23 |
| 1487885497 | Impression Healthcare Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 22573 Barton Rd., Grand Terrace, CA 92313 | 2009-08-07 |
| 1528230869 | Patricia Zappia | Specialist | 22927 Grand Terrace Road, Grand Terrace, CA 92313 | 2008-03-27 |
| 1558579755 | Robert Mitchell Norman | Psychiatry & Neurology | Riverside San Bernardino Indian Health, Inc., 11980 Mt Vernon Ave, Grand Terrace, CA 92313 | 2007-05-19 |
| 1477752913 | Joseph Allan Pruitt | Optometrist | 11980 Mount Vernon Ave, Grand Terrace, CA 92313 | 2007-07-14 |
| 1770725939 | Jarco Medical Group, LLC | Clinic/Center | 12030 La Cadena Dr, Grand Terrace, CA 92313-3613 | 2009-04-01 |
| 1376015164 | Trescina Michelle Hernandez | Assistant Behavior Analyst | 22887 Brentwood St, Grand Terrace, CA 92313-4908 | 2018-12-18 |
| 1811037492 | Jonbec Care Inc. | Intermediate Care Facility, Mentally Retarded | 11868 Canal St, Grand Terrace, CA 92313-4941 | 2007-02-06 |
| 1922028406 | Heather Carriedo | Pediatrics | 23251 Glendora Dr, Grand Terrace, CA 92313-4965 | 2006-07-20 |
| 1760683866 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 22325 Barton Rd, Grand Terrace, CA 92313-5006 | 2007-05-29 |
| Find all providers in zip 92313 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821541707 | Samantha Moore | Physical Therapist | 23083 Jensen Ct, Grand Terrace, CA 92313-5579 | 2016-07-27 |
| 1497304422 | Gabriel Jesus Gonzalez | Physical Therapist | 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313-5500 | 2019-09-11 |
| 1578861399 | Myungjin Kim | Physical Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2011-03-02 |
| 1386957413 | Richard Charles Ortiz | Physical Therapist | 22908 Wren St, Grand Terrace, CA 92313-5580 | 2010-07-18 |
| 1720263304 | Eric Johnson | Physical Therapist | 12139 Mount Vernon Ave, Grand Terrace, CA 92313-5586 | 2008-01-02 |
| 1104015437 | Pablo Mleziva | Physical Therapist | 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313-5500 | 2007-10-23 |
| 1275721995 | Christian Hernandez Aniag | Physical Therapist | 23070 Siskin Ct, Grand Terrace, CA 92313-5338 | 2007-10-09 |
| 1578651832 | Christina Elizabeth Brodbeck | Physical Therapist | 12139 Mount Vernon Ave, 110, Grand Terrace, CA 92313-5586 | 2006-10-11 |
| 1225072911 | Cheong Kim | Physical Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962365 | Sydney Nicole Stuber | Physical Therapist | 5580 La Jolla Blvd # 486, La Jolla, CA 92037-7651 | 2020-11-06 |
| 1972104925 | Andrew Sungmin Lee | Physical Therapist | 21915 Hawaiian Ave Apt D, Hawaiian Gardens, CA 90716-6001 | 2020-11-05 |
| 1932700960 | David Eric Malachowski Onne | Physical Therapist | 140 Diamond Creek Pl Unit 125, Roseville, CA 95747-7188 | 2020-11-05 |
| 1427659564 | Iris Vivien Agcaoili Lucena | Physical Therapist | 1415 Heatherwood Ave, Chula Vista, CA 91913-2973 | 2020-11-04 |
| 1881295293 | Momentum Physical Therapy | Physical Therapist | 140 Litton Dr Ste 200, Grass Valley, CA 95945-5080 | 2020-11-03 |
| 1063012623 | Dhrutika Lunagariya | Physical Therapist | 401 Webster St, Palo Alto, CA 94301-1244 | 2020-10-31 |
| 1346840147 | Herbert Ashley Larsen | Physical Therapist | 24736 Daisy Ave, Loma Linda, CA 92354-3307 | 2020-10-30 |
| 1255931382 | Ansel Bjorn Schmidt | Physical Therapist | 4500 Gilbert St, Oakland, CA 94611-4657 | 2020-10-28 |
| 1487254827 | Hy Ia | Physical Therapist | 1516 S Sierra Vista Ave Apt C, Alhambra, CA 91801-5125 | 2020-10-26 |
| 1831798487 | Olivia Renee Johnston | Physical Therapist | 26072 Merit Cir Ste 119, Laguna Hills, CA 92653-7015 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND TERRACE |
| Zip Code | 92313 |
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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.