Organization Active NPI

Enrico Dalisay Physical Therapy Inc

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1134767817
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ENRICO DALISAY PHYSICAL THERAPY INC
Practice address
3730 E Pacific Coast Hwy
Long Beach, CA 90804-2016
Phone
(562) 434-0062
Fax
(562) 439-4617
NPI assigned
Dec 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Mr. Enrico Dalisay, PTNPI 1528542479
Title
President
Phone
(562) 434-0062

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3730 E Pacific Coast Hwy
Long Beach, CA 90804-2016

Mailing address

3730 E Pacific Coast Hwy
Long Beach, CA 90804-2016
Phone (562) 434-0062

Other identifiers 1

IdentifierTypeStateIssuer
1528542479MedicaidCA

Other names 1

  • PHYSICAL THERAPY FITNESS TEAM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200128000205 CA Part B Supplier - Clinic/Group Practice 4284069956 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

3535 E 7th St
Long Beach, CA 90804
Phone (562) 434-0062

3730 E Pacific Coast Hwy
Long Beach, CA 90804
Phone (562) 434-0062

Practitioners & affiliated clinicians

Practitioners 1

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": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1134767817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042016",
            "telephone_number": "562-434-0062",
            "fax_number": "562-439-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042016",
            "telephone_number": "562-434-0062",
            "fax_number": "562-439-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICO DALISAY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DALISAY",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-434-0062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528542479",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY FITNESS TEAM",
            "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 Dec 16, 2025; 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.