Organization Active NPI

Jena Bawe Physical Therapy Inc

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1235309220
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JENA BAWE PHYSICAL THERAPY INC
Practice address
2455 190TH St
Unit B
Redondo Beach, CA 90278-5334
Phone
(310) 318-5719
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Jena Bawe
Title
President
Phone
(310) 318-5719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2455 190TH St
Unit B
Redondo Beach, CA 90278-5334

Mailing address

2455 190TH St
Unit B
Redondo Beach, CA 90278-5334

National Provider Directory

National Provider Directory

Locations

2455 190th St
Ste B
Redondo Beach, CA 90278
Phone (310) 318-5719

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1235309220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 190TH ST",
            "address_2": "UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 190TH ST",
            "address_2": "UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785334",
            "telephone_number": "310-318-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENA BAWE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BAWE",
        "authorized_official_first_name": "JENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-318-5719"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.