OrganizationActive
Altitude Physical Therapy & Fitness P.C.
NPI 1942791744 · Physical Therapy Clinic/Center · Blue Jay, CA
Provider details
- NPI number
- 1942791744
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tarah Sparkman, Physical Therapist(909) 754-4097
- License
- 39415 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27169 State Highway 189
Blue Jay, CA 92317-0017
Phone: (909) 754-4097
Fax: (909) 323-0215
Street-level locationGet directions
Mailing address
Po Box 193
Blue Jay, CA 92317-0193
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.