Organization Active NPI

Sportsfit

  • Orthopedic Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1154630564
Registry record updated Oct 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
34446 Issued in CA
Legal business name
SPORTSFIT
Practice address
2425 Colorado Ave
Suite 114
Santa Monica, CA 90404-3584
Phone
(310) 878-2540
Fax
(310) 878-2536
NPI assigned
Oct 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2010

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

Authorized official

Name
Dr. Jourak Rick Rafael, DPT, OCS, CSCSNPI 1437338647
Title
Owner
Phone
(310) 878-2540

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X 34446 CA Primary

Addresses

Primary practice location

2425 Colorado Ave
Suite 114
Santa Monica, CA 90404-3584

Mailing address

2425 Colorado Ave
Suite 114
Santa Monica, CA 90404-3584
Phone (310) 878-2540

National Provider Directory

National Provider Directory

Locations

2425 Colorado Ave
Ste 114
Santa Monica, CA 90404
Phone (310) 878-2540

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": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1154630564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "SUITE 114",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043584",
            "telephone_number": "310-878-2540",
            "fax_number": "310-878-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "SUITE 114",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043584",
            "telephone_number": "310-878-2540",
            "fax_number": "310-878-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "RAFAEL",
        "authorized_official_first_name": "JOURAK",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-878-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "34446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.