PON PHYSICAL THERAPY INC (NPI# 1952388639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952388639 |
| Entity Type | Organization |
| Organization Name | PON PHYSICAL THERAPY INC |
| Practice Address |
1944 W Glenoaks Blvd Glendale CA 91201-1644 |
| Practice Telephone | 8188463385 |
| Practice Fax Number | 8183344922 |
| Mailing Telephone | 8188463385 |
| Mailing Fax Number | 8183344922 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | MR. GILBERT J PON (OWNER) |
| Authorized Official Telephone | 8188463385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT18593 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | US DEPT OF LABOR | 610466700 | 01 |
| CA | BS OF CA | OPT185930 | 01 |
| Street Address |
1944 W GLENOAKS BLVD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1265072904 | Wyatt Robert Wichman | Clinic/Center | 100 W Broadway Ste 750, Glendale, CA 91210-1215 | 2020-01-10 |
| 1902461312 | Mighty Oaks Therapy Pllc | Clinic/Center | 20329 N 59th Ave Ste A5, Glendale, AZ 85308-6854 | 2019-05-01 |
| 1700305596 | Foothills Sports Medicine & Physical Therapy - Stetson Village, LLC | Clinic/Center | 3850 W Happy Valley Rd Ste 147149, Glendale, AZ 85310-3280 | 2017-09-13 |
| 1003358607 | Aris Health Corp | Clinic/Center | 17100 N 67th Ave Bldg 1, Glendale, AZ 85308-3605 | 2016-11-14 |
| 1265808240 | Orthosports Physical Therapy | Clinic/Center | 5620 W Thunderbird Rd Ste B1, Glendale, AZ 85306-4638 | 2015-08-13 |
| 1306140801 | Annette Tamraz Physical Therapy Inc | Clinic/Center | 1000 N Central Ave Ste 220, Glendale, CA 91202-2957 | 2010-12-27 |
| 1902375405 | Foothills Sports Medicine & Physical Therapy - Glendale LLC | Clinic/Center | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2018-11-14 |
| 1093216624 | Bhsm Rehabilitation, LLC | Clinic/Center | 4344 W Bell Rd Ste 100, Glendale, AZ 85308-3589 | 2018-02-28 |
| 1215464185 | Revamp Physical Therapy, Inc | Clinic/Center | 805 E Broadway Ste A, Glendale, CA 91205-4527 | 2017-05-22 |
| Find all providers in GLENDALE | ||||
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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.