Individual provider Active NPI

Sinmen Tse, PTA

  • Physical Therapy Assistant
  • Duarte, CA
National Provider Identifier
1447880422
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50923 Issued in CA
Practice address
819 Buena Vista St
Duarte, CA 91010-1703
Phone
(626) 408-7802
NPI assigned
Jan 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 50923 CA Primary

Addresses

Primary practice location

819 Buena Vista St
Duarte, CA 91010-1703

Mailing address

2735 Pine St
Rosemead, CA 91770-3115
Phone (626) 493-8400

Other practice location 1

8650 Tyrone Ave # Ca
Panorama City, CA 91402-3118
Phone (310) 926-6798

Other practice location 2

1819 W Valley Blvd # B
Alhambra, CA 91803-2344
Phone (626) 988-6211

Other practice location 3

9335 Reseda Blvd Ste 800
Northridge, CA 91324-6036
Phone (760) 585-5165

Other practice location 4

273 E Beverly Blvd
Montebello, CA 90640-3775
Phone (323) 724-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50923CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicali LLC PastSince Aug 23, 2020 Accepting new patients
Bleu Physical Therapy and Performance PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1447880422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 PINE ST",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703115",
            "telephone_number": "626-493-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BUENA VISTA ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101703",
            "telephone_number": "626-408-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8650 Tyrone Ave # Ca",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914023118",
            "country_code": "US",
            "telephone_number": "310-926-6798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 W Valley Blvd # B",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918032344",
            "country_code": "US",
            "telephone_number": "626-988-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9335 Reseda Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913246036",
            "country_code": "US",
            "telephone_number": "760-585-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 E Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906403775",
            "country_code": "US",
            "telephone_number": "323-724-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSE",
        "first_name": "SINMEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.