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ETIWANDA MTU
NPI 1255726113
Physical Therapist - Pediatrics in Etiwanda, CA

Active since March 30, 2015
12860 BANYAN ST, ETIWANDA, CA 91739(909) 463-3010 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Etiwanda Mtu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETIWANDA MTU (NPI 1255726113) is a healthcare organization registered as a pediatrics in Etiwanda, California and active in the NPI registry since March 2015. The organization lists Maxwell Ohikhuare, Public Health Officer, as its authorized official.

NPPES Registry Identity

NPI1255726113
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameSAN BERNARDINO COUNTY PUBLIC HEALTH
Location Address12860 BANYAN STEtiwanda, CA 91739-9466
Mailing Address451 E Vanderbilt WaySan Bernardino, CA 92408-3641 · (909) 387-6218
Phone(909) 463-3010
Organization SubpartNo
Authorized OfficialMaxwell OhikhuarePublic Health Officer · (909) 387-6219
Enumeration DateMarch 30, 2015
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1255726113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
12860 BANYAN ST, Etiwanda, CA 91739
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Other Names 1

Other NameEtiwanda Mtu

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN CRISTOBAL PT, DPT
Physical Therapist
12860 BANYAN ST
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 942-6987

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 San Bernardino County Public Health's NPI number?

The NPI number for San Bernardino County Public Health is 1255726113. It was assigned to this organization in the NPPES registry on March 30, 2015. The provider is also known as Etiwanda Mtu.

Where is San Bernardino County Public Health located?

San Bernardino County Public Health is located at 12860 Banyan St, Etiwanda, CA 91739. The listed phone number is (909) 463-3010.

What is San Bernardino County Public Health's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for San Bernardino County Public Health was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.