Pro-Body Orthopaedic & Sports Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 25555 Issued in CA

Legal business name

PRO-BODY ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, INC.

Practice address

3110 Chino Ave
Suite 270
Chino Hills, CA 91709-1211

Phone

(909) 902-5049

Fax

(909) 902-5059

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eric J. McCabe, D.P.T.NPI 1033231402

Title

President / Physical Therapist

Phone

(909) 902-5049

Specialties & licenses 1

Addresses

Other names 1

• Pro-Body Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric John McCabe, DPT

  • Physical Therapist
  • Chino Hills, CA
  • NPI 1033231402
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Follett

  • Physical Therapist
  • Chino Hills, CA
  • NPI 1215353271
  Medicare reassignment Care Compare group NPD
• Thomas Kong Yu Hsu, MD

  • General Practice Physician
  • Rowland Heights, CA
  • NPI 1942428099
  NPD (past)
• Alexandra Lavonne Roser, DPT

  • Orthopedic Physical Therapist
  • Chino, CA
  • NPI 1548948284
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1396973145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE",
            "address_2": "SUITE 270",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-902-5049",
            "fax_number": "909-902-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE",
            "address_2": "SUITE 270",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-902-5049",
            "fax_number": "909-902-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-BODY ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "909-902-5049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro-Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prototypes
• Geoffrey Putnam, MA BCBA
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• Erika Quintero

• Physical Therapist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.