Organization Active NPI

Active Care Physical Therapy & Sports Medicine, Inc

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1285778233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE CARE PHYSICAL THERAPY & SPORTS MEDICINE, INC
Practice address
4201 Torrance Blvd
Suite 200
Torrance, CA 90503-4504
Phone
(310) 543-4727
Fax
(310) 543-0567
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth Zelus Underhill, M.P.T.NPI 1144373507
Title
President
Phone
(310) 543-4727

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4201 Torrance Blvd
Suite 200
Torrance, CA 90503-4504

Mailing address

4201 Torrance Blvd
Suite 200
Torrance, CA 90503-4504
Phone (310) 543-4727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000420 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991800781 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285778233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-543-4727",
            "fax_number": "310-543-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034504",
            "telephone_number": "310-543-4727",
            "fax_number": "310-543-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE PHYSICAL THERAPY & SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ZELUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-543-4727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.