Perform 2 Win Physiotherapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORM 2 WIN PHYSIOTHERAPY

Practice address

601 Cypress Ave Ste 402
Hermosa Beach, CA 90254-4645

Phone

(323) 333-2943

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Marco Antonio LopezNPI 1588121701

Title

Ceo

Phone

(323) 333-2943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marco Antonio Lopez, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1588121701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674345600000",
    "number": "1457015505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 LEDGEWOOD RD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805344",
            "telephone_number": "323-333-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CYPRESS AVE STE 402",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544645",
            "telephone_number": "323-333-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORM 2 WIN PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-333-2943",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddison Paul, PSY.D
• James Pearson, M.D.
• Evan Pell, LCSW
• Perennial Medical Services Inc
• Alexis Marisa Perez
• Thomas Pero, M.D.
• Ryan Edward Perry, D.C. CCSP
• Terry Petty, LMFT
• Vy Pham, OD
• Howard Andrew Pillsbury, LMFT

• Physical Therapy Clinic/Center in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.