NPIMap

Organization Active NPI

California Physical Therapy Management Inc

  • Physical Therapist
  • Gardena, CA
National Provider Identifier
1053561373
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CALIFORNIA PHYSICAL THERAPY MANAGEMENT INC
Practice address
1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129
Phone
(310) 329-1444
Fax
(310) 329-9586
NPI assigned
Sep 23, 2008
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Ms. Jana Van Surksum, P.T.
Title
Director
Phone
(310) 329-1444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129

Mailing address

1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129
Phone (310) 329-1444

National Provider Directory

National Provider Directory

Locations

1045 W Redondo Beach Blvd
Ste 130
Gardena, CA 90247
Phone (310) 329-1444

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1053561373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474129",
            "telephone_number": "310-329-1444",
            "fax_number": "310-329-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474129",
            "telephone_number": "310-329-1444",
            "fax_number": "310-329-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PHYSICAL THERAPY MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "VAN SURKSUM",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-329-1444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.