NPIMap

Organization Active NPI

Professional Physical Therapy Associates, Inc.

  • Physical Therapist
  • Whittier, CA
National Provider Identifier
1184725699
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROFESSIONAL PHYSICAL THERAPY ASSOCIATES, INC.
Practice address
15141 Whittier Blvd
Suite 100
Whittier, CA 90603-2135
Phone
(562) 945-1587
Fax
(562) 696-9687
NPI assigned
Sep 26, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mrs. Michele Kathryn Cazares, DPTNPI 1801984745
Title
Director/Owner
Phone
(562) 945-1587

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

15141 Whittier Blvd
Suite 100
Whittier, CA 90603-2135

Mailing address

15141 Whittier Blvd
Suite 100
Whittier, CA 90603-2135
Phone (562) 945-1587

Other names 1

  • Professional Physical Therapy Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060201000242 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527072339 Receives reassigned benefits from 10 practitioners
Practice locations: Whittier, CA

National Provider Directory

National Provider Directory

Locations

15141 Whittier Blvd
Ste 100
Whittier, CA 90603
Phone (562) 945-1587

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1184725699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD",
            "address_2": "SUITE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032135",
            "telephone_number": "562-945-1587",
            "fax_number": "562-696-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD",
            "address_2": "SUITE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032135",
            "telephone_number": "562-945-1587",
            "fax_number": "562-696-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "CAZARES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "562-945-1587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Physical Therapy Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.