NPIMap

Organization Active NPI

Choice Physical Therapy & Rehab PC

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1457875494
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41517 Issued in CA
Legal business name
CHOICE PHYSICAL THERAPY & REHAB PC
Practice address
266 S Harvard Blvd Ste 370
Los Angeles, CA 90004-4372
Phone
(213) 908-7065
Fax
(213) 947-4886
NPI assigned
Aug 1, 2017
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Minsik Ryu, PTNPI 1114288545
Title
President
Phone
(213) 908-7065

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 Therapist 225100000X 41517 CA Primary

Addresses

Primary practice location

266 S Harvard Blvd Ste 370
Los Angeles, CA 90004-4372

Mailing address

520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425
Phone (213) 365-0023

Other identifiers 1

IdentifierTypeStateIssuer
PT41517OtherCACALIFORNIA PHYSICAL THERAPY BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831000103 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668745340 Receives reassigned benefits from 10 practitioners
Practice locations: Rowland Heights, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

18771 Colima Rd
Rowland Hghts, CA 91748
Phone (626) 269-0706

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1457875494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201425",
            "telephone_number": "213-365-0023",
            "fax_number": "323-978-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044372",
            "telephone_number": "213-908-7065",
            "fax_number": "213-947-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PHYSICAL THERAPY & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "MINSIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-908-7065",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICAL THERAPY BOARD",
            "identifier": "PT41517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.