Success Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT17060 Issued in CA

Legal business name

SUCCESS PHYSICAL THERAPY, INC

Practice address

2842 Sepulveda Blvd
Torrance, CA 90505-2803

Phone

(310) 325-0800

Fax

(310) 325-7705

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Noelle Gilson Budrovich, DPT

Title

Owner/Physical Therapist

Phone

(310) 325-0800

Specialties & licenses 1

Addresses

Other names 1

• Success Physical Therapy and Balance Center, Inc Doing business as

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1245678176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052803",
            "telephone_number": "310-325-0800",
            "fax_number": "310-325-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052803",
            "telephone_number": "310-325-0800",
            "fax_number": "310-325-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "BUDROVICH",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "GILSON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-325-0800",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT17060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Physical Therapy and Balance Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aki Inoue Su, F.N.P., R.N., M.S.N
• Kimberly Yang-Tzu Su, MD
• Jose Raul Suarez Jr., MA
• Ajith Subhash
• Success Physical Therapy
• Yveta Suchomel, L.AC.
• Salma Annisa Sudarmadji, OTR/L
• Darryl Sue, M.D.
• Jordan Alexander Sugarman, MD
• Sugimori Dental Corporation

• Physical Therapy Clinic/Center in Torrance, CA
• Providers in Torrance, 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 Jun 13, 2013; 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.