Active NPI
Absolute Physical Therapy & Rehab Center Inc.
Doing business as Absolute Physical Therapy
- Physical Therapist
- Huntington Park, CA
National Provider Identifier
1144638206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16584
- 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, 2023
- 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
- Willy John Reyes
- Title
- Administrator
- Phone
- (909) 287-9931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT16584 | Other | CA | CA PHYSICAL THERAPY BOARD |
Other names 2
- Absolute Physical Therapy
- Absolute PT & Rehab Center Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- City of Industry, CA
- NPI 1063827426
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.