Active NPI
New Wave Physical Therapy Inc
- Physical Therapy Clinic/Center
- Los Alamitos, CA
National Provider Identifier
1023536885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hiral Vasa, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Los Alamitos, CA
- NPI 1386034130
-
- Physical Therapist
- Cerritos, CA
- NPI 1871776153
-
- Physical Therapist
- Los Alamitos, CA
- NPI 1770368292
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.