Adi Rehab, Incorporated
Organization Active NPI Physical Therapist · Los Angeles, CA
NPI 1104850197 · NPPES record last updated May 21, 2020
Key facts
- NPI
- 1104850197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADI REHAB, INCORPORATED
- Practice address
- 10635 Santa Monica Blvd Ste 165
Los Angeles, CA 90025-8306 - Phone
- (310) 481-0644
- Fax
- (310) 474-4034
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Sean Hampton, MPT
- Title
- Owner
- Phone
- (323) 933-9060
Practitioners 118
-
Leslie Abarca, DPT
-
Aaron Alexander, DPT
-
Tracy C Balangue, OTD, OTR/L, CHT
-
Charmaine V. Clamor, M.P.T.
-
Miranda Jean Cordova, PTA
-
Jay Delgado, DPT
-
Anna Lee, PT, DPT
-
Malena Lennon, DPT
-
Diptee Pathak, PT, DPT
-
Mikayla Rogers, PT, DPT
-
Destiny Thompson, DPT
-
Allison Butigian, DPT
-
Jaclyn Coners, DPT
-
Matthew J Dever, DPT
-
Nicole Durning, DPT
-
Kelby Rae Green, DPT
-
Cheyenne Guynn, DPT
National Provider Directory
Locations
10880 Wilshire Blvd
Ste 112
Los Angeles, CA 90024
Phone (310) 481-0644
6109 Lindenhurst Ave
Los Angeles, CA 90048
Phone (323) 333-1943
557 S Fairfax Ave
Los Angeles, CA 90036
Phone (323) 933-9060
10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
10635 Santa Monica Blvd Ste 165
Los Angeles, CA 90025-8306
Mailing address
10635 Santa Monica Blvd Ste 165
Los Angeles, CA 90025-8306
Phone (310) 481-0644
NPI Registry JSON
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1104850197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10635 SANTA MONICA BLVD STE 165",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900258306",
"telephone_number": "310-481-0644",
"fax_number": "310-474-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10635 SANTA MONICA BLVD STE 165",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900258306",
"telephone_number": "310-481-0644",
"fax_number": "310-474-4034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADI REHAB, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A",
"authorized_official_last_name": "HAMPTON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-933-9060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Mopelola Adetola Adeyemo
- Oladunni B Adeyiga
- Sarah Adeyinka-Skold
- Feridoon Adhami
- Rutha Adhanom
- Farzad Adib
- Elina Adibi
- Kami Adibi
- Bardia Adibmoradi
- Felicia N Adiele
All providers in Los Angeles, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.