Organization Active NPI

Amadeus Physical Therapy, Inc.

  • Physical Therapist
  • Signal Hill, CA
National Provider Identifier
1003172958
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29459 Issued in CA
Legal business name
AMADEUS PHYSICAL THERAPY, INC.
Practice address
3351 E Hill St
Signal Hill, CA 90755-1219
Phone
(562) 597-8616
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Mr. Jesse Umali Escueta, PT
Title
President and Ceo
Phone
(661) 345-0449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT29459 CA Primary

Addresses

Primary practice location

3351 E Hill St
Signal Hill, CA 90755-1219

Mailing address

1840 S Gaffey St
# 265
San Pedro, CA 90731-5324
Phone (562) 597-8616

National Provider Directory

National Provider Directory

Locations

1840 S Gaffey St
San Pedro, CA 90731
Phone (310) 936-4311

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1003172958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S GAFFEY ST",
            "address_2": "# 265",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315324",
            "telephone_number": "562-597-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 E HILL ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551219",
            "telephone_number": "562-597-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADEUS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "ESCUETA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "UMALI",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "661-345-0449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.