NPIMap

Organization Active NPI

Innovative Rehab. Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1164590717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26577 Issued in CA
Legal business name
INNOVATIVE REHAB. INC
Practice address
506 S Alvarado St
Los Angeles, CA 90057-2904
Phone
(213) 413-3038
Fax
(213) 484-4201
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James K Cho, MPT, PH.D.NPI 1588731509
Title
President
Phone
(562) 965-1452

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 26577 CA Primary

Addresses

Primary practice location

506 S Alvarado St
Los Angeles, CA 90057-2904

Mailing address

15161 E. Riviera Lane
La Mirada, CA 90638
Phone (562) 965-1452

Other names 1

  • innovative wellness dba Other name

National Provider Directory

National Provider Directory

Locations

9730 Wilshire Blvd
Ste 211B
Beverly Hills, CA 90212
Phone (310) 385-0106

Practitioners & affiliated clinicians

Practitioners 5

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164590717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15161 E. RIVIERA LANE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "562-965-1452",
            "fax_number": "714-690-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572904",
            "telephone_number": "213-413-3038",
            "fax_number": "213-484-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE REHAB. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-965-1452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPT, PH.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "innovative wellness dba",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.