Aqe Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT19096 Issued in CA

Legal business name

AQE PHYSICAL THERAPY, INC

Practice address

433 N 4TH St Ste 216
Montebello, CA 90640-4309

Phone

(323) 229-4910

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Albert Quirad Escobar, RPTNPI 1942448923

Title

President

Phone

(323) 717-0450

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert Quirap Escobar, PHYSICAL THERAPIST

  • Physical Therapy Clinic/Center
  • Montebello, CA
  • NPI 1942448923

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Mathieu Joseph Agbayani Moulic

  • Physical Therapist
  • Montebello, CA
  • NPI 1548852171
  Medicare reassignment Care Compare group NPD
• Pua Kapu, PHYSICAL THERAPY

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1215225644
  Medicare reassignment NPD
• Robert Lim, DPT

  • Physical Therapist
  • Temple City, CA
  • NPI 1306478409
  Medicare reassignment NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1366959017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 216",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-229-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 216",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-229-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "QUIRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-717-0450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT19096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPA'S",
            "identifier": "50899077",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50899077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.