Organization Active NPI

Necesito Sports Therapy

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Diamond Bar, CA
National Provider Identifier
1447075650
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
NECESITO SPORTS THERAPY
Practice address
870 N Diamond Bar Blvd
Diamond Bar, CA 91765-1039
Phone
(909) 993-3132
NPI assigned
Nov 21, 2024
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Ian Cedrick Necesito, LMT, ST, PTNPI 1003639006
Title
Ceo
Phone
(909) 993-3132

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
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X Primary

Addresses

Primary practice location

870 N Diamond Bar Blvd
Diamond Bar, CA 91765-1039

Mailing address

1261 N Sycamore Ave
Rialto, CA 92376-3628
Phone (909) 993-3132

National Provider Directory

National Provider Directory

Locations

870 N Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 993-3132

Practitioners & affiliated clinicians

Practitioners 1

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1447075650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 N SYCAMORE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763628",
            "telephone_number": "909-993-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651039",
            "telephone_number": "909-993-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECESITO SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "NECESITO",
        "authorized_official_first_name": "IAN CEDRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-993-3132",
        "authorized_official_credential": "LMT, ST, PT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.