FM Rehab Express Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 29115 Issued in CA

Legal business name

FM REHAB EXPRESS INC

Practice address

6888 Lincoln Ave Ste J2
Buena Park, CA 90620-4107

Phone

(657) 666-9288

Fax

(657) 666-9289

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ferdinand Reyes Mangasep Sr., RPT

Title

Ceo/Physical Therapist

Phone

(657) 465-4659

Specialties & licenses 1

Addresses

Other names 2

• FM Rehab Doing business as
• Mangasep Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1487724902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 EL MORRO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202607",
            "telephone_number": "657-465-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE STE J2",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "657-666-9288",
            "fax_number": "657-666-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM REHAB EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "MANGASEP",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "657-465-4659",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 29115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FM Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mangasep Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.