Active NPI
Sportsfit
- Orthopedic Physical Therapist
- Santa Monica, CA
National Provider Identifier
1154630564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 34446
- 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
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, CSCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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 DirectoryLocations
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.
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1437338647
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
- Spinal Rehabilitation Medical Group Inc
- Spinal Rehabilitation Medical Group, Inc.
- Spinal Stenosis and Disc Center, Inc.
- Spine Group Beverly Hills Inc
- Sharon Nau Spooner, M.D.
- Sportsfit Physical Therapy Corporation
- Cortney Lee Spraker, MS, PA-C
- Cheryl Anne Spurlock
- Preethi Srikanthan, MD
- Amornchit Srikureja, M.D.
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.