Organization Active NPI

Reignite Rehab and Physical Therapy Inc

Doing business as Reignite Rehab

  • Orthopedic Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1346946951
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
REIGNITE REHAB AND PHYSICAL THERAPY INC
Doing business as
Reignite Rehab
Practice address
1501 Pearl St Apt 8
Santa Monica, CA 90405-2662
Phone
(310) 752-5289
NPI assigned
Feb 6, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Jessica Von Den Stemmen
Title
Owner
Phone
(310) 752-5289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

1501 Pearl St Apt 8
Santa Monica, CA 90405-2662

Mailing address

1501 Pearl St Apt 8
Santa Monica, CA 90405-2662
Phone (080) 539-0546

Other names 1

  • Reignite Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1346946951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PEARL ST APT 8",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052662",
            "telephone_number": "080-539-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PEARL ST APT 8",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052662",
            "telephone_number": "310-752-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIGNITE REHAB AND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "VON DEN STEMMEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-752-5289"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reignite Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reignite Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.