Personal Care Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27960 Issued in CA

Legal business name

PERSONAL CARE PHYSICAL THERAPY, INC

Practice address

357 Aqua Way
Brea, CA 92821

Phone

(562) 522-1111

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Jason Favis Samonte, MPTNPI 1598869299

Title

Ceo

Phone

(562) 522-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Jason Samonte, RPT

  • Physical Therapist
  • Brea, CA
  • NPI 1598869299
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1073702965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 AQUA WAY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212161",
            "telephone_number": "562-522-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 AQUA WAY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "562-522-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19110 Allingham Ave",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907036407",
            "country_code": "US",
            "telephone_number": "562-522-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19110 Allingham Ave",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907036407",
            "country_code": "US",
            "telephone_number": "562-522-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL CARE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "SAMONTE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "FAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-522-1111",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "PT27960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond F Perez, MS, MFT
• Rodolfo Perez, M.D.
• Ana Perruzzi
• Andrew Edward Perry, PA-C
• Roxie Robin Persi, PSY.D.
• Peter Yi Chiropractic Inc
• Peterson Dentistry DDS Inc
• Gregory Peterson, D.D.S.
• David H Pham, DDS
• Heather Pham

• Physical Therapist in Brea, CA
• Providers in Brea, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.