Individual provider Active NPI

Dina A Malo, RPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1306910039
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19593 Issued in CA
Practice address
23133 Hawthorne Blvd
#104
Torrance, CA 90505-3729
Phone
(310) 378-3456
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19593 CA Primary

Addresses

Primary practice location

23133 Hawthorne Blvd
#104
Torrance, CA 90505-3729

Mailing address

2517 Spreckels LN
Redondo Beach, CA 90278-5336

Other identifiers 1

IdentifierTypeStateIssuer
PT19593OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000265 CA Practitioner - Physical Therapist in Private Practice 3274680590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redondo Orthopedic Physical TherapyGroup PAC ID 8729382668, 14 clinicians

Practice addresses (Care Compare)

23133 Hawthorne Blvd
Suite 104
Torrance, CA 90505-3729
Phone (310) 321-4056

520 N Prospect Ave
Suite 100
Redondo Beach, CA 90277-3033
Phone (310) 376-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19593CAMDPhysical Therapist
19593CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rossmoor Rehabilitation Inc Physical Therapist CurrentSince Nov 12, 2021 Accepting new patients
Redondo Orthopedic Physical Therapy Physical Therapist CurrentSince Mar 14, 2022 Accepting new patients
Biosphere Comprehensive Longevity Center Inc. Physical Therapist Past Accepting new patients

Locations

520 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-9222

12501 Seal Beach Blvd
Ste 210
Seal Beach, CA 90740
Phone (562) 493-8800

23133 Hawthorne Blvd
Ste 104
Torrance, CA 90505
Phone (310) 373-3181

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1306910039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 SPRECKELS LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 HAWTHORNE BLVD",
            "address_2": "#104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053729",
            "telephone_number": "310-378-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALO",
        "first_name": "DINA",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT19593",
            "state": "CA"
        }
    ],
    "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 Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.