Active Care Physical Therapy & Sports Medicine, Inc
Organization Active NPI Physical Therapist · Torrance, CA
NPI 1285778233 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1285778233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Elizabeth Zelus Underhill, M.P.T.
- Title
- President
- Phone
- (310) 543-4727
Practitioners 1
-
Elizabeth Z Underhill, M.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
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
Other providers in Torrance, CA
- Trillondel Acosta
- Veronica Marisol Acosta
- Linda Gail Acres
- Action Orthopedic Company, LLC
- Active Care Physical Therapy
- Active Health Concepts
- Acu Wellness LLC
- Acuabbyllc
- Aculeafs Inc
- Acupuncture Clinic
All providers in Torrance, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.