Organization Active NPI

RSG Rehab Team, Inc

Doing business as Los Angeles PTRC

  • Physical Therapist
  • Norwalk, CA
National Provider Identifier
1366614695
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RSG REHAB TEAM, INC
Doing business as
Los Angeles PTRC
Practice address
13821 San Antonio Dr
Norwalk, CA 90650-4034
Phone
(562) 863-4330
NPI assigned
Mar 27, 2008
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RSG REHAB TEAM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Mr. Danniel Empe Goyena
Title
President
Phone
(213) 590-3246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

13821 San Antonio Dr
Norwalk, CA 90650-4034

Mailing address

3846 Division St
Los Angeles, CA 90065-4245

Other names 1

  • Los Angeles PTRC Doing business as

National Provider Directory

National Provider Directory
Part of
RSG Rehab Team Inc

Locations

2542 W 3rd St
Ste C
Los Angeles, CA 90057
Phone (213) 277-1042

Practitioners & affiliated clinicians

Practitioners 6

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1366614695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 DIVISION ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504034",
            "telephone_number": "562-863-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSG REHAB TEAM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RSG REHAB TEAM, INC",
        "enumeration_date": "2008-03-27",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "GOYENA",
        "authorized_official_first_name": "DANNIEL",
        "authorized_official_middle_name": "EMPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-590-3246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles PTRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.