Active NPI
Insight Physical Therapy Inc
Doing business as Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2024
- 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
- Mr. Derek Anthony Plonka, DPT, MTOM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Insight Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Santa Monica, CA
- NPI 1780914234
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.
-
- Acupuncturist
- Pismo Beach, CA
- NPI 1306403316
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1205861507
-
- Psychologist
- La, CA
- NPI 1093747826
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
- Patrick Ryan Inscore, M.D.
- Magdalene Yuk Choo Insdorf, LMFT
- Insight Assessment Center and Psychological Services
- Insight Health and Wellness, LLC
- Insight Health Corp (MRI Center at Martin Luther King/Drew Medical Center)
- Insight Practice Partners Medical Group Inc
- Insight Psychology Group Inc
- Insomnia Medical Group, Inc
- Insoo Kim Chiropractic Corporation
- Inspire Healthcare, Inc.
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.