Organization Active NPI

Gillespie Physical Therapy

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1386314185
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GILLESPIE PHYSICAL THERAPY
Practice address
312 S Catalina Ave Ste E
Redondo Beach, CA 90277-3622
Phone
(424) 353-9791
Fax
(310) 861-8553
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Julie Reynolds
Title
Ceo
Phone
(424) 353-9791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

312 S Catalina Ave Ste E
Redondo Beach, CA 90277-3622

Mailing address

601 21St PL
Santa Monica, CA 90402-3049
Phone (310) 922-3096

National Provider Directory

National Provider Directory

Locations

312 S Catalina Ave
Ste E
Redondo Beach, CA 90277
Phone (310) 293-9382

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1386314185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 21ST PL",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904023049",
            "telephone_number": "310-922-3096",
            "fax_number": "310-861-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CATALINA AVE STE E",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773622",
            "telephone_number": "424-353-9791",
            "fax_number": "310-861-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLESPIE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-353-9791"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.