Active NPI
Play Physical Therapy, Inc
- Physical Therapy Clinic/Center
- El Segundo, CA
National Provider Identifier
1184076267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT14137
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.