JORDAN RIVER PHYSICAL THERAPY INC
NPI 1003798182
Clinic/Center - Physical Therapy in Yucaipa, CA
About Jordan River Physical Therapy Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RIVER PHYSICAL THERAPY INC (NPI 1003798182) is a healthcare organization registered as a physical therapy in Yucaipa, California and active in the NPI registry since July 2025. The organization lists Fuad Al-dabbak, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan River Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jordan River Physical Therapy Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan River Physical Therapy Inc's NPI number?
The NPI number for Jordan River Physical Therapy Inc is 1003798182. It was assigned to this organization in the NPPES registry on July 22, 2025.
Where is Jordan River Physical Therapy Inc located?
Jordan River Physical Therapy Inc is located at 34247 Yucaipa Blvd Ste E, Yucaipa, CA 92399. The listed phone number is (909) 657-2232.
What is Jordan River Physical Therapy Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Jordan River Physical Therapy Inc enrolled in Medicare?
Yes. Jordan River Physical Therapy Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jordan River Physical Therapy Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Jordan River Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jordan River Physical Therapy Inc was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.