Andrew Cotham Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ANDREW COTHAM PHYSICAL THERAPY P.C.

Doing business as

Outback Rehab Inc

Practice address

50 Alessandro PL
Suite A40
Pasadena, CA 91105-3149

Phone

(323) 401-1935

NPI assigned

Aug 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andrew Cotham, PTNPI 1023368891

Title

Preident/Ceo

Phone

(323) 401-1935

Specialties & licenses 1

Addresses

Other names 1

• Outback Rehab Inc Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Cotham, PT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1023368891
  NPD Authorized official
• Ann Raissa Cayas Bella

  • Physical Therapist
  • Oregon City, OR
  • NPI 1912251349
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344729600000",
    "number": "1003163775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 CALIFORNIA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313133",
            "telephone_number": "323-401-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE A40",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "323-401-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW COTHAM PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-12",
        "last_updated": "2012-08-12",
        "status": "A",
        "authorized_official_last_name": "COTHAM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PREIDENT/CEO",
        "authorized_official_telephone_number": "323-401-1935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outback Rehab Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Andrade
• Andre Panossian MD a Professional Corporation
• Caroline Andre
• Andrea Davis, PH.D., Clinical Psychology, Inc. (Greenhouse Therapy Center)
• Odalys Daniela Andres
• Andrew H.R. Singleton, M.D., Inc
• Andrew Lai Inc.
• Dwyla Andrews
• Sloane Andrews
• Toren Andrewson

• Physical Therapy Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.