Organization Active NPI

Universal Rehabilitation, Inc.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1497920441
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21950 Issued in CA
Legal business name
UNIVERSAL REHABILITATION, INC.
Practice address
440 Shatto PL
2ND Floor Suite 209
Los Angeles, CA 90020-1765
Phone
(213) 382-8484
Fax
(866) 438-5974
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Duncan H. Chang, P.T.NPI 1972601185
Title
President
Phone
(213) 382-8484

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT21950 CA Primary

Addresses

Primary practice location

440 Shatto PL
2ND Floor Suite 209
Los Angeles, CA 90020-1765

Mailing address

440 Shatto PL
2ND Floor Suite 209
Los Angeles, CA 90020-1765
Phone (213) 382-8484

Other names 1

  • Alpha Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

440 Shatto Pl
Ste 209
Los Angeles, CA 90020
Phone (213) 382-8484

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1497920441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "address_2": "2ND FLOOR SUITE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201765",
            "telephone_number": "213-382-8484",
            "fax_number": "866-438-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "address_2": "2ND FLOOR SUITE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201765",
            "telephone_number": "213-382-8484",
            "fax_number": "866-438-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-382-8484",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2009; 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.