Iathlete

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IATHLETE

Practice address

22715 Hawthorne Blvd Ste B
Torrance, CA 90505-3613

Phone

(424) 250-0365

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Noolee Kim, PT, DPT, OCSNPI 1275887283

Title

Owner

Phone

(424) 250-0365

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noolee Kim, DPT

  • Physical Therapist
  • Torrance, CA
  • NPI 1275887283
  NPD (past) Authorized official

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1326504333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 LOMITA BLVD UNIT 5",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22715 HAWTHORNE BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053613",
            "telephone_number": "424-250-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IATHLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NOOLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-250-0365",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Marie Iacono, LCSW
• Vincent Kenneth Ibanez, D.C
• Javier G Ibarra
• Oscar Ibarra
• Sergio Carlos Ibarra, DMD
• Obiagaeliaku Ibe

• Physical Therapy Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.