Organization Active NPI

Nitro Physical Therapy and Performance Inc.

  • Physical Therapy Clinic/Center
  • Duarte, CA
National Provider Identifier
1386443604
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NITRO PHYSICAL THERAPY AND PERFORMANCE INC.
Practice address
2488 Calle Villada Cir
Duarte, CA 91010-2157
Phone
(808) 753-1263
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dr. Timothy Y Chang, PT
Title
Owner
Phone
(808) 753-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2488 Calle Villada Cir
Duarte, CA 91010-2157

Mailing address

2488 Calle Villada Cir
Duarte, CA 91010-2157
Phone (808) 753-1263

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1386443604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 CALLE VILLADA CIR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102157",
            "telephone_number": "808-753-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 CALLE VILLADA CIR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102157",
            "telephone_number": "808-753-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITRO PHYSICAL THERAPY AND PERFORMANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-753-1263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.