Organization Active NPI

Play Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • El Segundo, CA
National Provider Identifier
1184076267
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT14137 Issued in CA
Legal business name
PLAY PHYSICAL THERAPY, INC
Practice address
2250 Park PL
El Segundo, CA 90245-4908
Phone
(310) 643-3400
Fax
(310) 356-3423
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
David W Halberg, PT
Title
President
Phone
(310) 643-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT14137 CA Primary

Addresses

Primary practice location

2250 Park PL
El Segundo, CA 90245-4908

Mailing address

2711 N Sepulveda Blvd
#293
Manhattan Beach, CA 90266-2725
Phone (310) 643-3400

National Provider Directory

National Provider Directory

Locations

2711 N Sepulveda Blvd
#293
Manhattan Beach, CA 90266

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1184076267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N SEPULVEDA BLVD",
            "address_2": "#293",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662725",
            "telephone_number": "310-643-3400",
            "fax_number": "310-356-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PARK PL",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454908",
            "telephone_number": "310-643-3400",
            "fax_number": "310-356-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "HALBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-643-3400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT14137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.