Organization Active NPI

Absolute Physical Therapy & Rehab Center Inc.

Doing business as Absolute Physical Therapy

  • Physical Therapist
  • Huntington Park, CA
National Provider Identifier
1144638206
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16584 Issued in CA
Legal business name
ABSOLUTE PHYSICAL THERAPY & REHAB CENTER INC.
Doing business as
Absolute Physical Therapy
Practice address
2616 Clarendon Ave
Huntington Park, CA 90255-4120
Phone
(323) 583-2634
Fax
(323) 585-2635
NPI assigned
Aug 1, 2014
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Willy John Reyes
Title
Administrator
Phone
(909) 287-9931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16584 CA Primary

Addresses

Primary practice location

2616 Clarendon Ave
Huntington Park, CA 90255-4120

Mailing address

2616 Clarendon Ave
Huntington Park, CA 90255-4120
Phone (323) 583-2634

Other identifiers 1

IdentifierTypeStateIssuer
PT16584OtherCACA PHYSICAL THERAPY BOARD

Other names 2

  • Absolute Physical Therapy Doing business as
  • Absolute PT & Rehab Center Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229002082 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234452111 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington Park, CA

National Provider Directory

National Provider Directory

Locations

2616 Clarendon Ave
Ste B
Huntington Park, CA 90255
Phone (323) 583-2634

2616 Clarendon Ave
Huntington Pk, CA 90255
Phone (323) 583-2634

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1144638206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554120",
            "telephone_number": "323-583-2634",
            "fax_number": "323-585-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554120",
            "telephone_number": "323-583-2634",
            "fax_number": "323-585-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PHYSICAL THERAPY & REHAB CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "WILLY JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-287-9931"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHYSICAL THERAPY BOARD",
            "identifier": "PT16584",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Absolute PT & Rehab Center Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.