Active NPI
Beverly Orthopedic Physical Therapy Center Inc.
- Physical Therapist
- Montebello, CA
National Provider Identifier
1205512829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BEVERLY ORTHOPEDIC PHYSICAL THERAPY CENTER INC.
- Practice address
- 3320 W Beverly Blvd
Montebello, CA 90640-1537 - Phone
- (323) 477-1176
- Fax
- (323) 477-1186
- NPI assigned
- Jun 27, 2023
- 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
- Rekha Kawankar, DPT
- Title
- Ceo/Cfo
- Phone
- (323) 344-2630
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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X | |||
| Hand Physical Therapist | 2251H1200X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Ergonomics Occupational Therapist | 225XE1200X | |||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Hand Occupational Therapist | 225XH1200X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
3320 W Beverly Blvd
Montebello, CA 90640-1537
Mailing address
3320 W Beverly Blvd
Montebello, CA 90640-1537
Phone (323) 477-1176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2623 W Beverly Blvd
Montebello, CA 90640
Phone (323) 477-1176
3320 W Beverly Blvd
Montebello, CA 90640
Phone (323) 477-1176
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1093104242
-
- Occupational Therapist
- Westlake Village, CA
- NPI 1508487802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1205512829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906401537",
"telephone_number": "323-477-1176",
"fax_number": "323-477-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906401537",
"telephone_number": "323-477-1176",
"fax_number": "323-477-1186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY ORTHOPEDIC PHYSICAL THERAPY CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "KAWANKAR",
"authorized_official_first_name": "REKHA",
"authorized_official_title_or_position": "CEO/CFO",
"authorized_official_telephone_number": "323-344-2630",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Ergonomics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
- Beverly Hospital
- Beverly Hospitalist Group Incorporated
- Beverly Internal Medicine Medical Group Inc.
- Beverly Oncology & Imaging Center Medical GR
- Beverly Orthopedic Laboratory Inc
- Beverly Pediatric Medical Group, Inc.
- Beverly Plaza RX Inc
- Beverly Plaza RX Inc
- Beverly Professional Pharmacy
- Beverly Urgent Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.