SPORTS & ORTHOPEDIC PHYSICAL THERAPY CLINIC INC (NPI# 1922186956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922186956 |
| Entity Type | Organization |
| Organization Name | SPORTS & ORTHOPEDIC PHYSICAL THERAPY CLINIC INC |
| Other Organization Name | WINSTEAD & WINTERS PHYSICAL THERAPY CORPORATION |
| Practice Address |
6335 N Fresno Street Suite 108 Fresno CA 93710 |
| Mailing Address |
6335 N. Fresno Street Suite 108 Fresno CA 93710 |
| Practice Telephone | 5594320524 |
| Practice Fax Number | 5594498646 |
| Mailing Telephone | 5594320524 |
| Mailing Fax Number | 5594498646 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | RANDY SCOTT HICKS (OWNER) |
| Authorized Official Telephone | 5594320524 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | Y |
| Parent Organization Name | SPORTS & ORTHOPEDIC PHYSICAL THERAPY CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT29992 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Winstead & Winters Physical Therapy Corporation | Former Legal Business Name - Organization |
| Street Address |
6335 N FRESNO STREET SUITE 108 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558561563 | Mary Louise Lindae | Dermatology | 6335 N Fresno Street, #206, Fresno, CA 93710 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336516889 | Daniel Hoppe | Clinic/Center | 7080 N Maple Ave, Suite 101, Fresno, CA 93720-8003 | 2015-08-31 |
| 1518159607 | Advanced Physical and Occupational Therapy | Clinic/Center | 6760 N West Ave Ste 104, Fresno, CA 93711-1396 | 2007-08-13 |
| 1194869024 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 2610 Tuolumne Street, Fresno, CA 93721 | 2007-02-16 |
| 1770627697 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 2555 South East Avenue, Fresno, CA 93706 | 2007-02-16 |
| 1134263064 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 7265 North First Street, Bldg. A, Fresno, CA 93720 | 2007-02-16 |
| 1043399090 | First Choice Physical Therapy &rehab, Inc | Clinic/Center | 1903 E Fir Ave, Suite 102, Fresno, CA 93720-3842 | 2006-11-02 |
| 1336143981 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 1357 W Shaw Ave, Suite 101, Fresno, CA 93711-3618 | 2005-06-10 |
| 1992150171 | William Lynch | Clinic/Center | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2016-04-26 |
| 1497128508 | Malo Sports Rehabilitation and Physical Therapy Inc. | Clinic/Center | 7721 N 1st St, Fresno, CA 93720-0962 | 2015-11-11 |
| 1932409604 | Sierra Pacific Orthopaedics Therapy | Clinic/Center | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2010-10-28 |
| Find all providers in FRESNO | ||||
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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.