Active NPI
Gillespie Physical Therapy
- Physical Therapist
- Redondo Beach, CA
National Provider Identifier
1386314185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.