Active NPI
Deconstruct Health Physical Therapy & Consulting PC
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1326600529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Zabala Aquino, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physical Therapist
- Huntington Beach, CA
- NPI 1184192361
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.