Organization Active NPI

Deconstruct Health Physical Therapy & Consulting PC

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1326600529
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DECONSTRUCT HEALTH PHYSICAL THERAPY & CONSULTING PC
Practice address
3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535
Phone
(310) 893-5786
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Dr. Michael Zabala Aquino, PT, DPTNPI 1184192361
Title
Ceo
Phone
(310) 508-5648

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Ergonomics Physical Therapist 2251E1200X NU
Neurology Physical Therapist 2251N0400X NU

Addresses

Primary practice location

3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535

Mailing address

1145 E Jay St
Carson, CA 90745-3540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1326600529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E JAY ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "310-893-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECONSTRUCT HEALTH PHYSICAL THERAPY & CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ZABALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-508-5648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.