Greg Joachim, BS, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9541 Issued in CA

Practice address

615 N Nash St Ste 306
El Segundo, CA 90245-2850

Phone

(310) 535-0008

Fax

(310) 535-0009

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Made to Move Physical Therapy, Inc.

  • Physical Therapist
  • El Segundo, CA
  • NPI 1811095318
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1093096745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N NASH ST STE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452850",
            "telephone_number": "310-535-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N NASH ST STE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452850",
            "telephone_number": "310-535-0008",
            "fax_number": "310-535-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "GREG",
        "credential": "BS, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayrim Jimenez
• Samantha Jimenez
• Arinze Jiroh
• Priya Jittu
• JLP Interpreting Services
• Rani Saiju John, NP
• Hailey Johnson-Neeser
• Alexis Johnson
• Alyssa Johnson
• Anthony Johnson

• Physical Therapy Assistant in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.