Physical Therapy Fitness Team, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT8264 Issued in CA

Legal business name

PHYSICAL THERAPY FITNESS TEAM, INC

Practice address

3535 E 7TH St
Long Beach, CA 90804-5138

Phone

(562) 434-0062

Fax

(562) 439-4617

NPI assigned

Feb 12, 2016

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Manuel Valencia, DC, PTNPI 1457340713

Title

President

Phone

(562) 434-0062

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jesse Manuel Valencia, PT,DC

  • Physical Therapist
  • Long Beach, CA
  • NPI 1457340713
  Authorized official Same address or phone

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1215396627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045138",
            "telephone_number": "562-434-0062",
            "fax_number": "562-439-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045138",
            "telephone_number": "562-434-0062",
            "fax_number": "562-439-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY FITNESS TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-434-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chau Phung, NP
• Quyen Tu Phung, PHARM.D.
• Vivian Van Phung, OD
• Phuongtrinh Nguyen, DDS, Apc (DTT Dental Group)
• Jouwmey Phy
• Physician Care Ipa Inc
• Physicians Clinical Research, LLC
• Physicians of America Apc
• Physicians Surgical Care Affiliates
• Keith Piad, SLPA

• Physical Therapy Clinic/Center in Long Beach, CA
• Providers in Long 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 12, 2017; 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.