Active NPI
Koah Health Physical Therapy & Functional Medicine PC
- Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1447068036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KOAH HEALTH PHYSICAL THERAPY & FUNCTIONAL MEDICINE PC
- Practice address
- 1615 Alabama St
Huntington Beach, CA 92648-3514 - Phone
- (657) 837-0335
- NPI assigned
- Dec 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Cherney
- Title
- Provider
- Phone
- (657) 837-0335
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1615 Alabama St
Huntington Beach, CA 92648-3514
Mailing address
218 Frankfort Ave
Huntington Beach, CA 92648-4928
Phone (657) 837-0335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
419 Main St
Ste B
Huntington Beach, CA 92648
Phone (323) 232-9680
1615 Alabama St
Huntington Beach, CA 92648
Phone (657) 837-0335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Huntington Beach, CA
- NPI 1699555300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1447068036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 FRANKFORT AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926484928",
"telephone_number": "657-837-0335",
"fax_number": "657-699-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 ALABAMA ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926483514",
"telephone_number": "657-837-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOAH HEALTH PHYSICAL THERAPY & FUNCTIONAL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-28",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "CHERNEY",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "657-837-0335"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 20, 2026; 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.