Active NPI
Vincent Michael Rios, DPT
- Orthopedic Physical Therapist
- Hermosa Beach, CA
National Provider Identifier
1104660729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 2615 Pacific Coast Hwy Ste 120
Hermosa Beach, CA 90254-2285 - Phone
- (310) 933-3690
- NPI assigned
- Jun 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
2615 Pacific Coast Hwy Ste 120
Hermosa Beach, CA 90254-2285
Mailing address
2430 Cabrillo Ave Apt a
Torrance, CA 90501-4621
Phone (310) 944-4599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 N Bash St
El Segundo, CA 90245-2818
Phone (310) 666-9003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function for Life Physical Therapy, Inc. | Orthopedic | Current | Accepting new patients |
Locations
2719 Loker Ave W
Ste A
Carlsbad, CA 92010
Phone (760) 918-9200
555 N Nash St
El Segundo, CA 90245
Phone (310) 386-6788
1084 N El Camino Real
#B351
Encinitas, CA 92024
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1104660729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 CABRILLO AVE APT A",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905014621",
"telephone_number": "310-944-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 PACIFIC COAST HWY STE 120",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542285",
"telephone_number": "310-933-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "VINCENT",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.