NPIMap

Organization Active NPI

Rehab Excellence

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1386935492
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 19284 Issued in CA
Legal business name
REHAB EXCELLENCE
Practice address
9441 Shadwell Dr
Huntington Beach, CA 92646-7213
Phone
(714) 608-1778
Fax
(714) 965-8812
NPI assigned
Apr 22, 2011
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Danny Son Pham, PT, PHDNPI 1932121704
Title
Physical Therapist/Owner
Phone
(714) 608-1778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 19284 CA Primary

Addresses

Primary practice location

9441 Shadwell Dr
Huntington Beach, CA 92646-7213

Mailing address

9441 Shadwell Dr
Huntington Beach, CA 92646-7213
Phone (714) 608-1778

Other identifiers 1

IdentifierTypeStateIssuer
PT 19284OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1386935492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 SHADWELL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467213",
            "telephone_number": "714-608-1778",
            "fax_number": "714-965-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 SHADWELL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467213",
            "telephone_number": "714-608-1778",
            "fax_number": "714-965-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "714-608-1778",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 19284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT 19284",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.