Organization Active NPI

Rooted in Wellness LLC

  • Rehabilitation Clinic/Center
  • Rancho Palos Verdes, CA
National Provider Identifier
1073439675
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ROOTED IN WELLNESS LLC
Practice address
28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823
Phone
(424) 210-8583
NPI assigned
Jun 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Tommy Antwan Ellerbe, OTD
Title
Owner
Phone
(424) 210-8583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823

Mailing address

28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823
Phone (424) 210-8583

National Provider Directory

National Provider Directory

Locations

28924 S Western Ave
Ste 105
Rancho Palos Verdes, CA 90275
Phone (213) 841-2425

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1073439675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 105",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750823",
            "telephone_number": "424-210-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 105",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750823",
            "telephone_number": "424-210-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "ELLERBE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "ANTWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-210-8583",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.