Active NPI
Dirk Overturf, PHYSICAL THERAPIST
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1285173872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22148
- Practice address
- 330 Golden SHR
Long Beach, CA 90802-4246 - Phone
- (562) 247-0713
- Fax
- (800) 985-5002
- NPI assigned
- Feb 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22148 | CA | Primary |
Addresses
Primary practice location
330 Golden SHR
Long Beach, CA 90802-4246
Mailing address
330 Golden Shore
Long Beach, CA 90802
Phone (310) 339-8659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1285173872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 GOLDEN SHORE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90802",
"telephone_number": "310-339-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 GOLDEN SHR",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024246",
"telephone_number": "562-247-0713",
"fax_number": "800-985-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERTURF",
"first_name": "DIRK",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "22148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.