Provider Demographics
NPI:1073969804
Name:RHINEHART, JOHN ANDREW (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ANDREW
Last Name:RHINEHART
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 METROPOLITAN DR STE 306
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4404
Mailing Address - Country:US
Mailing Address - Phone:844-316-7979
Mailing Address - Fax:866-813-1235
Practice Address - Street 1:620 CHEROKEE ST NE STE 275
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7232
Practice Address - Country:US
Practice Address - Phone:770-475-7272
Practice Address - Fax:770-475-7270
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012312225100000X
CA302575225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA302575OtherCA BOARD OF PHYSICAL THERAPY