Alliance Rehab Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28536 Issued in CA

Legal business name

ALLIANCE REHAB PHYSICAL THERAPY, INC

Practice address

12095 W. Washington Blvd
Suite 201
Los Angeles, CA 90066-5891

Phone

(310) 398-3803

Fax

(310) 398-5189

NPI assigned

Aug 31, 2006

Last updated

Dec 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhobellie F Wilson, PTNPI 1346464161

Title

Owner

Phone

(818) 331-3175

Specialties & licenses 1

Addresses

Locations

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.

• Rhobellie Florendo Wilson, PT

  • Physical Therapist
  • Redding, CA
  • NPI 1346464161
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1114039179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 PINEWOOD AVENUE",
            "address_2": "SUITE 10",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422495",
            "telephone_number": "818-331-3175",
            "fax_number": "310-398-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12095 W. WASHINGTON BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665891",
            "telephone_number": "310-398-3803",
            "fax_number": "310-398-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE REHAB PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RHOBELLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-331-3175",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.