NPIMap

Organization Active NPI

Atlantis Physical Therapy Assoc

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1245323252
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLANTIS PHYSICAL THERAPY ASSOC
Practice address
3528 Torrance Blvd.
#100
Torrance, CA 90503
Phone
(310) 325-7404
Fax
(310) 325-4971
NPI assigned
Oct 2, 2006
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mr. Henry Dwight Kelsey, P.T.
Title
Owner
Phone
(310) 325-7404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3528 Torrance Blvd.
#100
Torrance, CA 90503

Mailing address

3528 Torrance Blvd.
#100
Torrance, CA 90503
Phone (310) 325-7404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122001218 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870558513 Receives reassigned benefits from 10 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

2601 Airport Dr
Ste 115
Torrance, CA 90505
Phone (310) 325-7404

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1245323252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 TORRANCE BLVD.",
            "address_2": "#100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-325-7404",
            "fax_number": "310-325-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 TORRANCE BLVD.",
            "address_2": "#100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-325-7404",
            "fax_number": "310-325-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS PHYSICAL THERAPY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-325-7404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "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 Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.