Organization Active NPI

Garden Grove Physical Therapy Inc

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1255713319
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 35176 Issued in CA
Legal business name
GARDEN GROVE PHYSICAL THERAPY INC
Practice address
9618 Garden Grove Blvd
116
Garden Grove, CA 92844-1563
Phone
(714) 454-4758
NPI assigned
Jun 25, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Efren Ablis Jr., P.TNPI 1821421975
Title
Director
Phone
(714) 454-4758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 35176 CA Primary

Addresses

Primary practice location

9618 Garden Grove Blvd
116
Garden Grove, CA 92844-1563

Mailing address

9618 Garden Grove Blvd
116
Garden Grove, CA 92844-1563
Phone (714) 454-4758

National Provider Directory

National Provider Directory

Locations

9618 Garden Grove Blvd
Ste 116
Garden Grove, CA 92844
Phone (714) 454-4758

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1255713319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 GARDEN GROVE BLVD",
            "address_2": "116",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441563",
            "telephone_number": "714-454-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 GARDEN GROVE BLVD",
            "address_2": "116",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441563",
            "telephone_number": "714-454-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "ABLIS",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-454-4758",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 35176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.