Organization Active NPI

Socal Physical Therapy Associates Inc.

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1295829299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOCAL PHYSICAL THERAPY ASSOCIATES INC.
Practice address
1489 E Chevy Chase Dr
Glendale, CA 91206-4008
Phone
(818) 409-9990
Fax
(818) 409-9991
NPI assigned
Oct 3, 2006
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
Mr. Dillon Young Chang, P.T.
Title
Owner Physical Therapist
Phone
(626) 905-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1489 E Chevy Chase Dr
Glendale, CA 91206-4008

Mailing address

1489 E Chevy Chase Dr
Glendale, CA 91206-4008
Phone (818) 409-9990

National Provider Directory

National Provider Directory

Locations

1489 E Chevy Chase Dr
Glendale, CA 91206
Phone (818) 409-9990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295829299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064008",
            "telephone_number": "818-409-9990",
            "fax_number": "818-409-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 E CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064008",
            "telephone_number": "818-409-9990",
            "fax_number": "818-409-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL PHYSICAL THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "626-905-7720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "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 Glendale, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.