NPIMap

Organization Active NPI

Functional Rehabilitation Physical Therapy PC

Doing business as The PT People

  • Physical Therapy Clinic/Center
  • Lakewood, CA
National Provider Identifier
1063083723
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FUNCTIONAL REHABILITATION PHYSICAL THERAPY PC
Doing business as
The PT People
Practice address
3300 E South St Ste 203
Lakewood, CA 90805-4589
Phone
(562) 303-6366
Fax
(562) 381-7764
NPI assigned
Jul 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Mr. Carlos Pena Pineda III, DPTNPI 1194827063
Title
Ceo
Phone
(562) 303-6366

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 Primary

Addresses

Primary practice location

3300 E South St Ste 203
Lakewood, CA 90805-4589

Mailing address

3300 E South St Ste 203
Lakewood, CA 90805-4589

Other names 1

  • The PT People Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210805000167 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941604417 Receives reassigned benefits from 10 practitioners
Practice locations: Lakewood, CA
O20260521000479 CA DME Supplier - Independently-Practicing Physical Therapist 0941604417 Practice locations: Lakewood, CA

National Provider Directory

National Provider Directory

Locations

3300 E South St
Ste 203
Lakewood, CA 90805
Phone (562) 303-6366

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1063083723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 203",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 203",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054589",
            "telephone_number": "562-303-6366",
            "fax_number": "562-381-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL REHABILITATION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "PENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-303-6366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The PT People",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.