Organization Active NPI

Felicie Industries

Doing business as Body Solutions, Fitness and Therapy

  • Orthopedic Physical Therapist
  • Long Beach, CA
National Provider Identifier
1215184312
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT25430 Issued in CA
Legal business name
FELICIE INDUSTRIES
Doing business as
Body Solutions, Fitness and Therapy
Practice address
5830 E Naples PLZ
Long Beach, CA 90803-5039
Phone
(562) 438-3400
Fax
(562) 438-3441
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Ismael Felicie
Title
Manager/Owner
Phone
(562) 438-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X PT25430 CA
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X PT25430 CA Primary

Addresses

Primary practice location

5830 E Naples PLZ
Long Beach, CA 90803-5039

Mailing address

5830 E Naples PLZ
Long Beach, CA 90803-5039
Phone (562) 438-3400

Other identifiers 1

IdentifierTypeStateIssuer
PT25430OtherCAMEDICARE IDENTIFICATION NUMBER

Other names 1

  • Body Solutions, Fitness and Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081126000200 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587724281 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

5830 E Naples Plz
Long Beach, CA 90803
Phone (562) 438-3400

5470 E 2nd St
Ste D
Long Beach, CA 90803
Phone (562) 438-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1215184312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E NAPLES PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035039",
            "telephone_number": "562-438-3400",
            "fax_number": "562-438-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 E NAPLES PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035039",
            "telephone_number": "562-438-3400",
            "fax_number": "562-438-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIE INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "FELICIE",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "562-438-3400"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT25430",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT25430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "PT25430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Solutions, Fitness and Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Body Solutions, Fitness and Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.