Unknown Individual – Physical Therapist, NPI 1619190865

Unknown Individual is a healthcare provider. based in Redlands, California. specializing in Physical Therapist. They hold a License No. 21477 (CA). The NPI Number for Unknown Individual is 1619190865

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619190865
Phone
(909) 389-7407
Address
1519 E BROCKTON AVE
Deactivation Date
18 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1519 E BROCKTON AVE

    REDLANDS, CA 923743903

    Phone: (909) 389-7407

    Type: Mailing

  • 10800 MAGNOLIA AVE

    RIVERSIDE, CA 925053043

    Phone: (951) 353-4670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92374)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1619190865.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Redlands, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.