XCEL ORTHOPAEDIC PHYSICAL THERAPY, INC. (NPI# 1629193305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629193305 |
| Entity Type | Organization |
| Organization Name | XCEL ORTHOPAEDIC PHYSICAL THERAPY, INC. |
| Practice Address |
1429 W Fremont St Stockton CA 95203-2627 |
| Practice Telephone | 2095460944 |
| Mailing Telephone | 2095460944 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DEVRA BOMMARITO (PRESIDENT) |
| Authorized Official Telephone | 2095460944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
15780 | CA | Ambulatory Health Care Facilities |
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER NUMB | ZZZ51476Z | 01 |
| Street Address |
1429 W FREMONT ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306990015 | Sierra Occupational Services | Family Medicine | 1429 W Fremont St, Stockton, CA 95203-2627 | 2007-01-22 |
| 1346882800 | Leticia Maravilla Diaz | Physician Assistant | 1429 W Fremont St, Stockton, CA 95203-2635 | 2019-10-16 |
| 1225683139 | Kevin Scott Dunn | Physical Therapist | 1429 W Fremont St, Stockton, CA 95203-2635 | 2019-08-07 |
| 1124595962 | Allen Strzelczyk | Physical Therapist | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-30 |
| 1669948055 | American Current Care of California, A Medical Corporation | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-23 |
| 1487120879 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-23 |
| 1063933661 | Matthew Allen | Physical Therapist | 1429 W Fremont St, Stockton, CA 95203-2635 | 2017-07-05 |
| 1538616586 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1429 W Fremont St, Stockton, CA 95203-2635 | 2016-09-07 |
| 1235428830 | Diane Sams Paul | Nurse Practitioner | 1429 W Fremont St, Stockton, CA 95203-2635 | 2011-04-04 |
| 1104129857 | Tyreina Benisha Amey | Physical Therapy Assistant | 1429 W Fremont St, Stockton, CA 95203-2635 | 2010-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1619350634 | Sudha Vani Saduvala | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2015-07-08 |
| 1740621671 | Syed Salman Ali | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2013-07-08 |
| 1417021726 | Sahir Naseer | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203 | 2006-11-20 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
| Find all providers in zip 95203 | ||||
| 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 |
|---|---|---|---|---|
| 1922654854 | Karlee Jean Valley | Physical Therapist | 2339 W Hammer Ln Ste K, Stockton, CA 95209-2368 | 2019-08-15 |
| 1497216543 | Jan Frances Flores | Physical Therapist | 5503 Teal Ct, Stockton, CA 95207-5226 | 2019-03-29 |
| 1114481835 | Katherine Anne Corrigan Hamilton | Physical Therapist | 333 W Benjamin Holt Dr, Stockton, CA 95207-3906 | 2019-01-27 |
| 1609358209 | Blake A Taylor | Physical Therapist | 4140 Oakridge Way, Stockton, CA 95204-1129 | 2018-08-30 |
| 1265956478 | Kasey Roy Thompson | Physical Therapist | 723 N Orange St, Stockton, CA 95203-2128 | 2017-07-29 |
| 1033640081 | Jenine Swan Yost | Physical Therapist | 5324 Oakview Ln, Stockton, CA 95212-2332 | 2017-03-22 |
| 1407396054 | Maureen Ollano | Physical Therapist | 10037 River Oaks Dr, Stockton, CA 95209-4125 | 2017-03-01 |
| 1912443631 | Cv Physical Therapy, Inc | Physical Therapist | 4343 Pacific Ave, Ste B1, Stockton, CA 95207-7664 | 2017-01-19 |
| 1518400365 | Susana Yanez | Physical Therapist | 3908 E Miner Ave, Stockton, CA 95215-4839 | 2016-11-28 |
| 1689066045 | Brent Lofy | Physical Therapist | 4343 Pacific Ave Ste B1, Stockton, CA 95207-7664 | 2015-02-23 |
| Find all providers in STOCKTON | ||||
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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.