Organization Active NPI

Insight Physical Therapy Inc

Doing business as Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1356367874
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INSIGHT PHYSICAL THERAPY INC
Doing business as
Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio
Practice address
2001 S Barrington Ave Ste 110
Los Angeles, CA 90025-5337
Phone
(310) 453-8668
Fax
(310) 453-8662
NPI assigned
Jul 15, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Mr. Derek Anthony Plonka, DPT, MTOMNPI 1912172438
Title
Owner
Phone
(310) 453-8668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CA
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 110
Los Angeles, CA 90025-5337

Mailing address

2001 S Barrington Ave Ste 110
Los Angeles, CA 90025-5337
Phone (310) 453-8668

Other practice location 1

1821 Wilshire Blvd
Suite 605
Santa Monica, CA 90403
Phone (310) 453-8668 ext. 3

Other names 1

  • Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090227000038 CA Part B Supplier - Clinic/Group Practice 5991741423 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Insight Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 S Barrington Ave
Ste 110
Los Angeles, CA 90025
Phone (310) 453-8668

1821 Wilshire Blvd
Ste 130
Santa Monica, CA 90403
Phone (310) 453-8668

1821 Wilshire Blvd
Ste 605
Santa Monica, CA 90403
Phone 3104538668 ext. 3

Practitioners & affiliated clinicians

Practitioners 4

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1356367874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255337",
            "telephone_number": "310-453-8668",
            "fax_number": "310-453-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255337",
            "telephone_number": "310-453-8668",
            "fax_number": "310-453-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Wilshire Blvd",
            "address_2": "Suite 605",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "90403",
            "country_code": "US",
            "telephone_number": "310-453-8668 x3",
            "fax_number": "310-453-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "PLONKA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-453-8668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT, MTOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.