Organization Active NPI

Electric Edge Physical Therapy P.C.

  • Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1225786387
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELECTRIC EDGE PHYSICAL THERAPY P.C.
Practice address
1500 Rosecrans Ave Ste 500
Manhattan Beach, CA 90266-3771
Phone
(310) 683-2133
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Mrs. Kelli Barton Schneider, PT, DPT, OCSNPI 1851767107
Title
President/Ceo
Phone
(310) 683-2133

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1500 Rosecrans Ave Ste 500
Manhattan Beach, CA 90266-3771

Mailing address

1500 Rosecrans Ave Ste 500
Manhattan Beach, CA 90266-3771
Phone (310) 683-2133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1225786387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROSECRANS AVE STE 500",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663771",
            "telephone_number": "310-683-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROSECRANS AVE STE 500",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663771",
            "telephone_number": "310-683-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRIC EDGE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-683-2133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.