Organization Active NPI

PT RN Care Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1013937515
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29929 Issued in CA
Legal business name
PT RN CARE INC
Practice address
1663 Beverly Blvd
Suite 202
Los Angeles, CA 90026-5710
Phone
(213) 250-0078
Fax
(213) 250-5578
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Hiram Owen Brian Masayon, PTNPI 1740200237
Title
President
Phone
(213) 250-0078

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT29929 CA Primary

Addresses

Primary practice location

1663 Beverly Blvd
Suite 202
Los Angeles, CA 90026-5710

Mailing address

1663 Beverly Blvd
Suite 202
Los Angeles, CA 90026-5710
Phone (213) 250-0078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018001162 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456377589 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; Lynwood, CA

National Provider Directory

National Provider Directory

Locations

1663 Beverly Blvd
Ste 202
Los Angeles, CA 90026
Phone (213) 250-0078

3622 Martin Luther King Jr Blvd
Ste 2
Lynwood, CA 90262
Phone (424) 403-4828

9676 Las Tunas Dr
Temple City, CA 91780
Phone (626) 236-8484

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1013937515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-0078",
            "fax_number": "213-250-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-0078",
            "fax_number": "213-250-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT RN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "MASAYON",
        "authorized_official_first_name": "HIRAM OWEN BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-250-0078",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.