Individual provider Active NPI

Joan P. Vannatta, P.T.

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1497994842
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33648 Issued in CA
Practice address
234 S Pacific Coast Hwy
Suite 206
Redondo Beach, CA 90277-3383
Phone
(310) 798-9889
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33648 CA Primary

Addresses

Primary practice location

234 S Pacific Coast Hwy
Suite 206
Redondo Beach, CA 90277-3383

Mailing address

3249 Whiffletree LN
Torrance, CA 90505-7132
Phone (310) 602-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33648CAMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrative Medical Center, Inc. PastSince Aug 6, 2019 Accepting new patients
Kaufmann Physical Therapy PastSince Jun 12, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1497994842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 WHIFFLETREE LN",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057132",
            "telephone_number": "310-602-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S PACIFIC COAST HWY",
            "address_2": "SUITE 206",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773383",
            "telephone_number": "310-798-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNATTA",
        "first_name": "JOAN",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.