Active NPI
Paulette L Rhaney, PT
- Physical Therapist
- Gardena, CA
National Provider Identifier
1386862662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5931
- Practice address
- 15446 S Western Ave
Gardena, CA 90249-4319 - Phone
- (310) 217-5380
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5931 | CA | Primary |
Addresses
Primary practice location
15446 S Western Ave
Gardena, CA 90249-4319
Mailing address
224 S Peck Ave
Manhattan Beach, CA 90266-6933
Phone (310) 217-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5931 | CA | MD | Physical Therapist |
| 5931 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1386862662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S PECK AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666933",
"telephone_number": "310-217-5380",
"fax_number": "310-217-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15446 S WESTERN AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494319",
"telephone_number": "310-217-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHANEY",
"first_name": "PAULETTE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT5931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.