Active NPI
Enrico Dalisay Physical Therapy Inc
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1134767817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Enrico Dalisay, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528542479 | Medicaid | CA |
Other names 1
- PHYSICAL THERAPY FITNESS TEAM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.