Organization Active NPI

Advanced Therapy Center

  • Hand Occupational Therapist
  • Torrance, CA
National Provider Identifier
1265930903
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
ADVANCED THERAPY CENTER
Practice address
3475 Torrance Blvd Ste B2
Torrance, CA 90503-5800
Phone
(310) 316-7748
Fax
(310) 316-7648
NPI assigned
Jan 29, 2018
Reactivated
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mr. Manoj Parida, OTR/LNPI 1972079457
Title
President
Phone
(818) 314-5774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225000000X
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X
Ergonomics Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE1200X
Feeding, Eating & Swallowing Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XF0002X
Hand Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XH1200X Primary
Neurorehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XN1300X
Physical Rehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0019X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

3475 Torrance Blvd Ste B2
Torrance, CA 90503-5800

Mailing address

3475 Torrance Blvd Ste B2
Torrance, CA 90503-5800
Phone (310) 316-7748

Other practice location 1

23133 Hawthorne Blvd Ste 110
Torrance, CA 90505-3729
Phone (310) 316-7748 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
CB354864OtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180629002226 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557617735 Receives reassigned benefits from 3 practitioners
Practice locations: Glendora, CA; Torrance, CA
O20180716000168 CA DME Supplier - Independently-Practicing Occupational Therapist 1557617735 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

1920 E Route 66
Glendora, CA 91740
Phone (626) 995-1451

3475 Torrance Blvd
Ste B2
Torrance, CA 90503
Phone (310) 316-7748

23133 Hawthorne Blvd
Ste 110
Torrance, CA 90505
Phone 3103167748 ext. 2

Practitioners & affiliated clinicians

Practitioners 8

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": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1265930903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD STE B2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-316-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD STE B2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-316-7748",
            "fax_number": "310-316-7648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23133 Hawthorne Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053729",
            "country_code": "US",
            "telephone_number": "310-316-7748 x2",
            "fax_number": "310-316-7648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "deactivation_date": "2020-04-08",
        "reactivation_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "PARIDA",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-314-5774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB354864",
            "state": "CA"
        }
    ],
    "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 Oct 31, 2022; 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.