Active NPI
Nitro Physical Therapy and Performance Inc.
- Physical Therapy Clinic/Center
- Duarte, CA
National Provider Identifier
1386443604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.