Ocean Physical Therapy & Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT20610 Issued in CA

Legal business name

OCEAN PHYSICAL THERAPY & WELLNESS

Practice address

15449 De Pauw St
Pacific Palisades, CA 90272-4370

Phone

(310) 850-5373

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Susan Schrader, PT, MBA

Title

President, Founder

Phone

(310) 850-5373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1487088357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031504",
            "telephone_number": "310-850-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15449 DE PAUW ST",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724370",
            "telephone_number": "310-850-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT, FOUNDER",
        "authorized_official_telephone_number": "310-850-5373",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT20610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WPT20610A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasreen Babu-Khan MD a Prof Corp
• Frances Nedjat-Haiem, LCSW
• Kelly L. Newman, M.S., CCC-SLP
• Harris Newmark III, M.D.
• Van T Nguyen, M.D.
• Ocean Physical Therapy & Wellness
• Barbara Dee Olson, M.S. CCC-SLP
• Karin Deming Olson, LCSW
• Michelle Deanne Oneill, PHD RN
• Options Counseling Center a Psychological Corporation

• Physical Therapy Clinic/Center in Pacific Palisades, CA
• Providers in Pacific Palisades, 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 Nov 14, 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.