Amadeus Physical Therapy, Inc.

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

Last updated

May 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jesse Umali Escueta, PTNPI 1174782809

Title

President and Ceo

Phone

(661) 345-0449

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jesse Umali Escueta, PT

  • Physical Therapist
  • Long Beach, CA
  • NPI 1174782809
  Authorized official Same address or phone

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": []
}

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• Physical Therapist in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Physical Therapist in California

• 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.