NPIMap

Organization Active NPI

Rehab Alliance

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1316987126
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 10854 Issued in CA
Legal business name
REHAB ALLIANCE
Practice address
22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215
Phone
(949) 707-5555
Fax
(949) 707-5706
NPI assigned
Jun 8, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Mr. David T Hayes, PTNPI 1962747568
Title
Cfo
Phone
(949) 707-5555

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 Therapist 225100000X PT 10854 CA Primary

Addresses

Primary practice location

22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215

Mailing address

22995 Mill Creek Dr
Suite a
Laguna Hills, CA 92653-1215
Phone (949) 707-5555

Other identifiers 3

IdentifierTypeStateIssuer
GSP000230MedicaidCA
GCT000220MedicaidCA
GPT000430MedicaidCA

National Provider Directory

National Provider Directory

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

1022 E Bastanchury Rd
Fullerton, CA 92835
Phone (714) 256-1510

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

23271 Verdugo Dr
Ste B
Laguna Hills, CA 92653
Phone (949) 900-1643

326 W Katella Ave
Ste 4A
Orange, CA 92867

16403 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-2295

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1316987126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR",
            "address_2": "SUITE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555",
            "fax_number": "949-707-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR",
            "address_2": "SUITE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555",
            "fax_number": "949-707-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-707-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSP000230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCT000220",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT000430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.