Organization Active NPI

New Wave Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Los Alamitos, CA
National Provider Identifier
1023536885
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40719 Issued in CA
Legal business name
NEW WAVE PHYSICAL THERAPY INC
Practice address
3851 Katella Ave Ste 365
Los Alamitos, CA 90720-3377
Phone
(562) 334-5398
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Hiral Vasa, DPTNPI 1386034130
Title
President/Treasurer
Phone
(562) 334-5398

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 Therapy Clinic/Center 261QP2000X 40719 CA Primary

Addresses

Primary practice location

3851 Katella Ave Ste 365
Los Alamitos, CA 90720-3377

Mailing address

3851 Katella Ave Ste 365
Los Alamitos, CA 90720-3377
Phone (562) 334-5398

Other names 1

  • SYNAPSE complete balance and movement therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301000756 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153682430 Receives reassigned benefits from 2 practitioners
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

3851 Katella Ave
Ste 365
Los Alamitos, CA 90720
Phone (562) 296-8107

Practitioners & affiliated clinicians

Practitioners 3

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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1023536885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 365",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "telephone_number": "562-334-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 365",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "telephone_number": "562-334-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "VASA",
        "authorized_official_first_name": "HIRAL",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "562-334-5398",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "40719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNAPSE complete balance and movement therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.