NPIMap

Organization Active NPI

Physioworks

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1447286067
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOWORKS
Practice address
2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone
(310) 374-0477
Fax
(310) 374-1605
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Mr. Robert Frank Maffucci, MPTNPI 1063426690
Title
Owner
Phone
(310) 374-0477

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: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604

Mailing address

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone (310) 374-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060227000314 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587670633 Receives reassigned benefits from 6 practitioners
Practice locations: Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

604 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 374-0477

2621 Manhattan Beach Blvd
Redondo Beach, CA 90278
Phone (310) 374-0477

Practitioners & affiliated clinicians

Practitioners 8

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1447286067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MANHATTAN BEACH BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "310-374-0477",
            "fax_number": "310-374-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MANHATTAN BEACH BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "310-374-0477",
            "fax_number": "310-374-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MAFFUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-374-0477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.