NPIMap

Organization Active NPI

Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1104850197
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Michael Sean Hampton, MPTNPI 1538218136
Title
Owner
Phone
(323) 933-9060

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 Therapist 225100000X Primary

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

National Provider Directory

National Provider Directory

Locations

10585 Santa Monica Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 441-2120

10880 Wilshire Blvd
Ste 112
Los Angeles, CA 90024
Phone (310) 481-0644

557 S Fairfax Ave
Los Angeles, CA 90036
Phone (323) 933-9060

Practitioners & affiliated clinicians

Practitioners 119

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.

View all 119

NPI Registry JSON

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

{
    "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": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.