Active NPI
Sunrise Physical Therapy Corporation
- Physical Therapist
- Commerce, CA
National Provider Identifier
1003779539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUNRISE PHYSICAL THERAPY CORPORATION
- Practice address
- 2550 Kurt Ave
Commerce, CA 90040-2312 - Phone
- (323) 395-1412
- NPI assigned
- Dec 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jasmine Rae Mariscal Villanueva, DPT
- Title
- Owner
- Phone
- (323) 395-1412
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2550 Kurt Ave
Commerce, CA 90040-2312
Mailing address
2550 Kurt Ave
Commerce, CA 90040-2312
Phone (323) 395-1412
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Commerce, CA
- NPI 1649755521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1003779539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 KURT AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402312",
"telephone_number": "323-395-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 KURT AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402312",
"telephone_number": "323-395-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE PHYSICAL THERAPY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "MARISCAL VILLANUEVA",
"authorized_official_first_name": "JASMINE",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-395-1412",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.