Active NPI
Rehab Dynamic Services Inc
- Physical Therapist
- Artesia, CA
National Provider Identifier
1043354665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19655
- Legal business name
- REHAB DYNAMIC SERVICES INC
- Practice address
- 17616 Grayland Ave
Artesia, CA 90701-4025 - Phone
- (562) 860-2068
- Fax
- (562) 809-4698
- NPI assigned
- Feb 16, 2007
- 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
- Zosima N Soliven, RPT
- Title
- President
- Phone
- (562) 860-2068
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 | PT19655 | CA | Primary |
Addresses
Primary practice location
17616 Grayland Ave
Artesia, CA 90701-4025
Mailing address
17616 Grayland Ave
Artesia, CA 90701-4025
Phone (562) 860-2068
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
- Artesia, CA
- NPI 1720122344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1043354665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17616 GRAYLAND AVE",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014025",
"telephone_number": "562-860-2068",
"fax_number": "562-809-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17616 GRAYLAND AVE",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014025",
"telephone_number": "562-860-2068",
"fax_number": "562-809-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB DYNAMIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "SOLIVEN",
"authorized_official_first_name": "ZOSIMA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-860-2068",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT19655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.