Organization Active NPI

Innovation Physical Therapy and Rehab Center, Inc.

  • Physical Therapist
  • Buena Park, CA
National Provider Identifier
1407162241
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INNOVATION PHYSICAL THERAPY AND REHAB CENTER, INC.
Practice address
8227 Santa Inez Way
Buena Park, CA 90620-3158
Phone
(714) 496-1459
NPI assigned
Aug 30, 2010
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Mr. Joseff D Sales, RPTNPI 1194919936
Title
President
Phone
(714) 496-1459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

8227 Santa Inez Way
Buena Park, CA 90620-3158

Mailing address

8227 Santa Inez Way
Buena Park, CA 90620-3158
Phone (714) 496-1459

National Provider Directory

National Provider Directory

Locations

1144 S Western Ave
Ste 202
Los Angeles, CA 90006
Phone (323) 373-1611

Practitioners & affiliated clinicians

Practitioners 4

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": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1407162241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 SANTA INEZ WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203158",
            "telephone_number": "714-496-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 SANTA INEZ WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203158",
            "telephone_number": "714-496-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION PHYSICAL THERAPY AND REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "JOSEFF",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-496-1459",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.