NPIMap

Organization Active NPI

Seal Beach Physical Therapy Inc.

  • Physical Therapist
  • Seal Beach, CA
National Provider Identifier
1316262983
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27143 Issued in CA
Legal business name
SEAL BEACH PHYSICAL THERAPY INC.
Practice address
1005 Pacific Coast Hwy
Unit A2
Seal Beach, CA 90740-6214
Phone
(562) 598-5500
Fax
(562) 598-5550
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Tritia Smildzins
Title
Office Manager
Phone
(949) 675-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27143 CA Primary

Addresses

Primary practice location

1005 Pacific Coast Hwy
Unit A2
Seal Beach, CA 90740-6214

Mailing address

1005 Pacific Coast Hwy
Unit A2
Seal Beach, CA 90740-6214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140129002069 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476782137 Receives reassigned benefits from 7 practitioners
Practice locations: Seal Beach, CA

National Provider Directory

National Provider Directory

Locations

1005 Pacific Coast Hwy
#A2
Seal Beach, CA 90740
Phone (562) 598-5500

1005 Pacific Coast Hwy
Ste A2
Seal Beach, CA 90740
Phone (562) 598-5500

1005 Pacific Coast Hwy
Unit A2
Seal Beach, CA 90740
Phone (562) 598-5500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1316262983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PACIFIC COAST HWY",
            "address_2": "UNIT A2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PACIFIC COAST HWY",
            "address_2": "UNIT A2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406214",
            "telephone_number": "562-598-5500",
            "fax_number": "562-598-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAL BEACH PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "SMILDZINS",
        "authorized_official_first_name": "TRITIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-675-2922"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.