Prime Therapy Services,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24628 Issued in CA

Legal business name

PRIME THERAPY SERVICES,LLC

Practice address

21151 S Western Ave
Suite 132
Torrance, CA 90501-1724

Phone

(310) 320-9905

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Alvin Lazaro Banzuela, PT

Title

President

Phone

(310) 320-9905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1477994341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE",
            "address_2": "SUITE 132",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "310-320-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE",
            "address_2": "SUITE 132",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "310-320-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "BANZUELA",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-320-9905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saul Priciliano Iturralde
• Therese Maria Prieto, RN
• Prime Medical Clinic
• Prime Performance PT LLC
• Prime Surgical Center of Torrance, LLC
• Jennifer Ilagan Principe
• Priority Womens Healthcare
• Prive Care, Inc.
• Fabian A Proano, MD
• Lauren Taylor Probywatts

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.