NPIMap

Organization Active NPI

California Rehab Group

  • Geriatric Physical Therapist
  • North Hollywood, CA
National Provider Identifier
1376566711
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT28631 Issued in CA
Legal business name
CALIFORNIA REHAB GROUP
Practice address
11435 Hamlin St
201
North Hollywood, CA 91606
Phone
(818) 634-6328
Fax
(818) 357-5574
NPI assigned
Jul 26, 2006
Last updated
Jun 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Ailene B. Rivera, PTNPI 1740212356
Title
President
Phone
(818) 634-6328

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
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X PT28631 CA Primary
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X WOT2198 CA

Addresses

Primary practice location

11435 Hamlin St
201
North Hollywood, CA 91606

Mailing address

11024 Balboa Blvd
504
Granada Hills, CA 91344-5007
Phone (818) 634-6328

National Provider Directory

National Provider Directory
Tax ID family
California Rehab Group2 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

7919 Garden Grove Blvd
Garden Grove, CA 92841
Phone (714) 894-3080

545 S Alvarado St
#B
Los Angeles, CA 90057
Phone (213) 483-3987

8121 Van Nuys Blvd
Ste 510
Panorama City, CA 91402
Phone (818) 392-8115

15361 Brookhurst St
Ste 102
Westminster, CA 92683
Phone (714) 418-1088

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1376566711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 BALBOA BLVD",
            "address_2": "504",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445007",
            "telephone_number": "818-634-6328",
            "fax_number": "818-357-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 HAMLIN ST",
            "address_2": "201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-634-6328",
            "fax_number": "818-357-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA REHAB GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "AILENE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-634-6328",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT28631",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "WOT2198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.