Individual provider Active NPI

Joseph M Nespoli, PT

  • Physical Therapist
  • Hawthorne, CA
National Provider Identifier
1013233014
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23409 Issued in CA
Practice address
13405 Inglewood Ave
Suite 6
Hawthorne, CA 90250-5646
Phone
(310) 263-7140
Fax
(310) 273-7232
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23409 CA Primary

Addresses

Primary practice location

13405 Inglewood Ave
Suite 6
Hawthorne, CA 90250-5646

Mailing address

13405 Inglewood Avenue
Suite 6
Hawthorne, CA 90250
Phone (310) 263-7140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23409CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Endeavors, Inc. Current Accepting new patients

Locations

13405 Inglewood Ave
Ste 6
Hawthorne, CA 90250
Phone (310) 263-7140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1013233014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 INGLEWOOD AVENUE",
            "address_2": "SUITE 6",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-263-7140",
            "fax_number": "310-273-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 INGLEWOOD AVE",
            "address_2": "SUITE 6",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505646",
            "telephone_number": "310-263-7140",
            "fax_number": "310-273-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESPOLI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.