Organization Active NPI

Angel Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Pomona, CA
National Provider Identifier
1073845376
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ANGEL PHYSICAL THERAPY INC.
Practice address
502 W Holt Ave
Pomona, CA 91768-3604
Phone
(909) 620-5699
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Mr. Rasoul PooyandehNPI 1013135656
Title
Ceo
Phone
(909) 620-5699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

502 W Holt Ave
Pomona, CA 91768-3604

Mailing address

502 W Holt Ave
Pomona, CA 91768-3604
Phone (909) 620-5699

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1073845376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683604",
            "telephone_number": "909-620-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683604",
            "telephone_number": "909-620-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "POOYANDEH",
        "authorized_official_first_name": "RASOUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-620-5699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.