NPIMap

Organization Active NPI

Rehabilitation Orthopedic Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1407127152
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT11680 Issued in CA
Legal business name
REHABILITATION ORTHOPEDIC PHYSICAL THERAPY INC.
Practice address
5301 Whittier Blvd
Atrium Suite
Los Angeles, CA 90022-4038
Phone
(323) 887-7458
Fax
(323) 887-8288
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Mr. Mario Polanco, RPT
Title
President
Phone
(323) 887-7458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT11680 CA Primary

Addresses

Primary practice location

5301 Whittier Blvd
Atrium Suite
Los Angeles, CA 90022-4038

Mailing address

PO Box 45195
Los Angeles, CA 90045-0191
Phone (323) 887-7458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1407127152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45195",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900450191",
            "telephone_number": "323-887-7458",
            "fax_number": "323-887-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WHITTIER BLVD",
            "address_2": "ATRIUM SUITE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224038",
            "telephone_number": "323-887-7458",
            "fax_number": "323-887-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ORTHOPEDIC PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-887-7458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT11680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.