Prehab2Perform Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PREHAB2PERFORM PHYSICAL THERAPY PC

Practice address

711 Hampton Dr Apt E
Venice, CA 90291-3018

Phone

(561) 329-8500

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By 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

Steven M Sudell Jr., PT, DPTNPI 1912237330

Title

President

Phone

(561) 329-8500

Specialties & licenses 1

Addresses

Other names 1

• prehab2perform Other name

Locations

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.

• Steven M Sudell Jr., PT

  • Physical Therapist
  • Venice, CA
  • NPI 1912237330
  Authorized official Same address or phone

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1235776923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 HILL ST APT E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054674",
            "telephone_number": "561-329-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HAMPTON DR APT E",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913018",
            "telephone_number": "561-329-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREHAB2PERFORM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "SUDELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-329-8500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prehab2perform",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vanessa Ponce
• Mitesh G Popat, MD
• Caron Sue Post, PHD
• Heidi Potter, SUDRC
• Praesidium Diagnostic LLC (Sameday Health)
• Kelly Elizabeth Preston, ACSW
• Dmitriy Victor Puchkarev, ASW
• Benjawan Punyaporn
• Karen Quindara
• Jose Quiroga, M.D.

• Physical Therapy Clinic/Center in Venice, CA
• Providers in Venice, 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 Dec 2, 2019; 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.