Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIJAH JERAE BISHOP III, PT MPT OCS
ActiveELIJAH JERAE BISHOP III, PT MPT OCS is a Physical Therapy Assistant healthcare provider located in LA QUINTA, California. NPI 1710902051 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LA QUINTA, CA
Registration Details
- NPI Number
- 1710902051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.065971981508 yrs)
- Last Updated
- May 13, 2019
- License
-
PT28284 (CA)
Practice Information
- Address
-
79440 CORPORATE CENTER DR STE 112LA QUINTA, CA, 922537243Browse CA providers · Browse ZIP 92253
- Phone
- 7607719054
- Fax
- 7607719057
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LA QUINTA, CA
| Name | Credential | NPI |
|---|---|---|
| CORY JOSEPH BERKELEY | DPT | 1356325559 |
| MRS. ELIZABETH A PERRY | PT | 1932184819 |
| CHRISTOPHER DANIEL FARRELL | PT | 1619952488 |
| MRS. ANGELA K PRESCOTT | P.T. | 1619913662 |
| MARK S. ALBERT | PT, SCS, A.T.C. | 1477612497 |
| MS. MA CHERRYL ANCHETA | PT | 1073630364 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.