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NPI 1417485889

NPI 1417485889 : TRANSIT PHYSICAL THERAPY PC : SAN BERNARDINO, CA

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General NPI Number Information
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    NPI Number           |    1417485889
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSIT PHYSICAL THERAPY PC 
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Dates
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    Enumeration Date     |    05/31/2017
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    275 W HOSPITALITY LN STE 100 
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92408-3238
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    Country              |    US
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    Telephone            |    909-567-2221
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    Fax                  |    909-763-3216
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Provider Business Mailing Address
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    Address Line         |    275 W HOSPITALITY LN STE 103 
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92408-3238
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    Country              |    US
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    Telephone            |    909-567-2221
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    Fax                  |    909-567-2267
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MITREE MICHAEL PIROMGRAIPAKD 
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    Credential           |    
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    Telephone            |    909-567-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2251H1200X
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    Taxonomy Name        |    Hand Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    225XN1300X
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    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    PT28630
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    License Number State |    CA
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