Organization Active NPI

Pediatric Therapy Specialists, Inc.

  • Pediatric Physical Therapist
  • Arcadia, CA
National Provider Identifier
1285365585
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PEDIATRIC THERAPY SPECIALISTS, INC.
Practice address
20 E Foothill Blvd Ste 220
Arcadia, CA 91006-2335
Phone
(626) 612-3850
NPI assigned
Jun 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Charmayne Gayle Ross, PT, DSC, PCSNPI 1326272956
Title
Ceo/Cfo/Owner
Phone
(626) 612-3850

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

20 E Foothill Blvd Ste 220
Arcadia, CA 91006-2335

Mailing address

20 E Foothill Blvd Ste 220
Arcadia, CA 91006-2335
Phone (626) 612-3850

National Provider Directory

National Provider Directory

Locations

50 E Foothill Blvd
Ste 100
Arcadia, CA 91006
Phone (626) 445-2400

20 E Foothill Blvd
Ste 220
Arcadia, CA 91006
Phone (626) 612-3850

1245 W Huntington Dr
Arcadia, CA 91007

Practitioners & affiliated clinicians

Practitioners 1

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": "1655596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1285365585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E FOOTHILL BLVD STE 220",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062335",
            "telephone_number": "626-612-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E FOOTHILL BLVD STE 220",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062335",
            "telephone_number": "626-612-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-19",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CHARMAYNE",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "CEO/CFO/OWNER",
        "authorized_official_telephone_number": "626-612-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DSC, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.