JORDAN RIVER PHYSICAL THERAPY INC
NPI 1003798182
Clinic/Center - Physical Therapy in Yucaipa, CA

Active since July 22, 2025
34247 YUCAIPA BLVD STE E, YUCAIPA, CA 92399(909) 657-2232 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1003798182
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJORDAN RIVER PHYSICAL THERAPY INC
Location Address34247 YUCAIPA BLVD STE EYucaipa, CA 92399-6118
Mailing AddressPo Box 386Yucaipa, CA 92399-0386
Organization SubpartNo
Authorized OfficialFuad Al-dabbakManager · (909) 528-8288
Enumeration DateJuly 22, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1003798182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
34247 YUCAIPA BLVD STE E, Yucaipa, CA 92399

Other Identifiers 2

MedicaidCA680529CA
MedicaidCA687754CA

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

2

Medicare 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)

Physical Therapist in Private Practice
NPI 1366229585
11741 GILMORE ST
Beaumont, CA 92223
(909) 528-8288
✔ Accepts Medicare9.4 mi
Physical Therapist in Private Practice
NPI 1508287905
25065 MOUND ST
Loma Linda, CA 92354
(909) 233-3220
✔ Accepts Medicare12 mi

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.