Organization Active NPI

Koah Health Physical Therapy & Functional Medicine PC

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1447068036
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Melanie CherneyNPI 1699555300
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250424001008 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981120862 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.