Organization Active NPI

Therapeutic Advantage Incorporated

  • Geriatric Physical Therapist
  • Torrance, CA
National Provider Identifier
1174679211
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
26393 Issued in CA
Legal business name
THERAPEUTIC ADVANTAGE INCORPORATED
Practice address
19191 S Vermont Ave
Suite 410
Torrance, CA 90502-1018
Phone
(310) 327-9101
Fax
(310) 327-6611
NPI assigned
Jan 25, 2007
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Grace Imperial Hoffman, OTRLNPI 1841486115
Title
Ceo
Phone
(310) 327-9101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 26393 CA Primary
Occupational Therapist 225X00000X 6118 CA

Addresses

Primary practice location

19191 S Vermont Ave
Suite 410
Torrance, CA 90502-1018

Mailing address

19191 S Vermont Ave
Suite 410
Torrance, CA 90502-1018
Phone (310) 327-9101

Other identifiers 1

IdentifierTypeStateIssuer
W16201OtherCAGROUP ID NUMBER

Other names 1

  • Therapeutic Advantage, Inc. Other name

National Provider Directory

National Provider Directory

Locations

19191 S Vermont Ave
#410A
Torrance, CA 90502
Phone (310) 327-9101

19191 S Vermont Ave
Ste 410A
Torrance, CA 90502
Phone (310) 327-9101

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1174679211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19191 S VERMONT AVE",
            "address_2": "SUITE 410",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021018",
            "telephone_number": "310-327-9101",
            "fax_number": "310-327-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19191 S VERMONT AVE",
            "address_2": "SUITE 410",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021018",
            "telephone_number": "310-327-9101",
            "fax_number": "310-327-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ADVANTAGE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "IMPERIAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-327-9101",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "26393",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID NUMBER",
            "identifier": "W16201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Advantage, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.