360 Wellness Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

360 WELLNESS PHYSICAL THERAPY

Practice address

501 S Vincent Ave
West Covina, CA 91790-6712

Phone

(909) 570-7787

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Yurong LuNPI 1295196061

Title

President/Physical Therapist

Phone

(909) 570-7787

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yurong Lu

  • Physical Therapist
  • Torrance, CA
  • NPI 1295196061

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Ivan Clifford Lam

  • Physical Therapist
  • El Monte, CA
  • NPI 1336953256

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chang Qu, DPT

  • Physical Therapist
  • West Covina, CA
  • NPI 1316898208

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• John Vu, DPT

  • Orthopedic Physical Therapist
  • Fountain Valley, CA
  • NPI 1285150169

  CA, Orthopedic

  Medicare reassignment Care Compare group NPD
• Hero Zheng, PT, DPT

  • Physical Therapist
  • West Covina, CA
  • NPI 1538860549

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Albert Tai

  • Physical Therapist
  • West Covina, CA
  • NPI 1255070603

  CA, Single Specialty

  Medicare reassignment NPD
• Peyton Ding, PT, DPT

  • Physical Therapist
  • West Covina, CA
  • NPI 1982469011
  NPD
• Matthew Nieh

  • Orthopedic Physical Therapist
  • West Covina, CA
  • NPI 1417787276

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1174095863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCK SPRINGS WAY",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917026270",
            "telephone_number": "909-570-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S VINCENT AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917906712",
            "telephone_number": "909-570-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 WELLNESS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "YURONG",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "909-570-7787"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 123 Pediatric Therapy, a Physical Therapy P.C.
• 1495 Cameron Avenue, LLC
• 3R Acupuncture Clinic
• 7 Leaf Clover Corporation
• A Mindful Practice
• A Plus Home Health Specialist, Inc.
• A Second Chance

• All providers in West Covina, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.

Verify at the official NPI Registry.