Organization
JORDAN RIVER PHYSICAL THERAPY INC
Active
Organization
JORDAN RIVER PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUAD AL-DABBAK (MANAGER)
(909) 528-8288
Entity
Organization
Contact information
Practice address
34247 YUCAIPA BLVD STE E, YUCAIPA, CA 92399-6118
(909) 657-2232
Mailing address
PO BOX 386, YUCAIPA, CA 92399-0386
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA680529
—
CA
05
—
CA687754
—
CA
Enumeration date
07/22/2025
Last updated
07/31/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up