Active NPI
Christy Malonzo Physical Therapist Inc. & Manjiri Dahdul Physical Ther
- Neurology Physical Therapist
- Long Beach, CA
National Provider Identifier
1124064076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 28635
- Legal business name
- CHRISTY MALONZO PHYSICAL THERAPIST INC. & MANJIRI DAHDUL PHYSICAL THER
- Practice address
- 3294 E. Spring Street
Long Beach, CA 90806-2426 - Phone
- (562) 988-3570
- Fax
- (562) 988-3671
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manjiri D Dahdul, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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.