Active NPI
Endurance Physical Therapy a Prof Corp
- Orthopedic Physical Therapist
- Pasadena, CA
National Provider Identifier
1154002483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- ENDURANCE PHYSICAL THERAPY A PROF CORP
- Practice address
- 695 S Raymond Ave
Pasadena, CA 91105-3249 - Phone
- (626) 639-2808
- Fax
- (626) 489-4001
- NPI assigned
- Jul 28, 2023
- Last updated
- Jul 28, 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
- Dr. Ari Theogene Landis Baquet, PT, DPT, OCS
- Title
- Owner & Lead Clinician
- Phone
- (310) 773-7202
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | NU | ||
| Sports Physical Therapist | 2251S0007X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | NU | Primary | |
| Massage Therapist | 225700000X | NU |
Addresses
Primary practice location
695 S Raymond Ave
Pasadena, CA 91105-3249
Mailing address
4589 Via Marisol Unit 353
Los Angeles, CA 90042-5140
Phone (310) 773-7202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 W California Blvd
#617
Pasadena, CA 91105
Phone (626) 639-2808
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
- Pasadena, CA
- NPI 1881177137
-
- Physical Therapist
- Pasadena, CA
- NPI 1316793524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1154002483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4589 VIA MARISOL UNIT 353",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425140",
"telephone_number": "310-773-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S RAYMOND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053249",
"telephone_number": "626-639-2808",
"fax_number": "626-489-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDURANCE PHYSICAL THERAPY A PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A",
"authorized_official_last_name": "BAQUET",
"authorized_official_first_name": "ARI",
"authorized_official_middle_name": "THEOGENE LANDIS",
"authorized_official_title_or_position": "OWNER & LEAD CLINICIAN",
"authorized_official_telephone_number": "310-773-7202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, OCS"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.