Physical Therapy Concierge Service Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

32976 Issued in CA

Legal business name

PHYSICAL THERAPY CONCIERGE SERVICE INC

Practice address

704 N. Irena
B
Redondo Beach, CA 90277

Phone

(661) 755-4751

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mariam Pashtoonwar Butler, DPT

Title

Doctor of Physical Therapy

Phone

(661) 755-4751

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1194135889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N IRENA AVE",
            "address_2": "B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N. IRENA",
            "address_2": "B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "661-755-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CONCIERGE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "PASHTOONWAR",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "661-755-4751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "32976",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "34642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Hermann Peters, M.D.
• Jeanne Peters, R.D.
• Zamia Brielle Peters
• Tuyet Bach Phan, A.T.C.
• Cecilia Pho, PPS
• Physiotherapy Associates Inc.
• Physioworks
• Michele Pickerell, NURSE PRACTITIONER
• Amber M Piercey, SLPA
• Piero Quinci, DMD, Ms, Inc.

• Physical Therapy Clinic/Center in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.