NPIMap

Organization Active NPI

Christy Malonzo Physical Therapist Inc. & Manjiri Dahdul Physical Ther

Doing business as Precision Rehabilitation

  • Neurology Physical Therapist
  • Long Beach, CA
National Provider Identifier
1124064076
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
28635 Issued in CA
Legal business name
CHRISTY MALONZO PHYSICAL THERAPIST INC. & MANJIRI DAHDUL PHYSICAL THER
Doing business as
Precision Rehabilitation
Practice address
3294 E. Spring Street
Long Beach, CA 90806-2426
Phone
(562) 988-3570
Fax
(562) 988-3671
NPI assigned
Jun 21, 2006
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Manjiri D Dahdul, DPTNPI 1962448878
Title
Director
Phone
(562) 988-3570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251N0400X 28635 CA Primary

Addresses

Primary practice location

3294 E. Spring Street
Long Beach, CA 90806-2426

Mailing address

3294 E. Spring Street
Long Beach, CA 90806-2426
Phone (562) 988-3570

Other names 1

  • Precision Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060809000524 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284637372 Receives reassigned benefits from 13 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

16861 Algonquin St
Ste A
Huntington Beach, CA 92649
Phone (714) 840-8178

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1124064076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3294 E. SPRING STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062426",
            "telephone_number": "562-988-3570",
            "fax_number": "562-988-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 E. SPRING STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062426",
            "telephone_number": "562-988-3570",
            "fax_number": "562-988-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY MALONZO PHYSICAL THERAPIST INC. & MANJIRI DAHDUL PHYSICAL THER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "DAHDUL",
        "authorized_official_first_name": "MANJIRI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-988-3570",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "28635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.