Organization Active NPI

Hymanson Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1255489332
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT7543 Issued in CA
Legal business name
HYMANSON PHYSICAL THERAPY, INC.
Practice address
1217 9TH St
Manhattan Beach, CA 90266-6017
Phone
(310) 477-8622
Fax
(310) 937-6926
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Carrie Hymanson, P.T.
Title
Owner
Phone
(310) 477-8622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT7543 CA Primary

Addresses

Primary practice location

1217 9TH St
Manhattan Beach, CA 90266-6017

Mailing address

1217 9TH St
Manhattan Beach, CA 90266-6017
Phone (310) 477-8622

Other identifiers 2

IdentifierTypeStateIssuer
W21332OtherCAMEDICARE PTAN
ZZZ21430ZOtherCABLUE SHIELD ID NUMBER

National Provider Directory

National Provider Directory

Locations

11600 Wilshire Blvd
Ste 222
Los Angeles, CA 90025
Phone (310) 477-8622

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1255489332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 9TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666017",
            "telephone_number": "310-477-8622",
            "fax_number": "310-937-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 9TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666017",
            "telephone_number": "310-477-8622",
            "fax_number": "310-937-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYMANSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "HYMANSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-477-8622",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT7543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21332",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID NUMBER",
            "identifier": "ZZZ21430Z",
            "state": "CA"
        }
    ],
    "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 Aug 17, 2016; 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.