Physio Mind Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIO MIND PHYSICAL THERAPY INC

Practice address

4020 Palos Verdes Dr N Ste 100
Rolling Hills Estates, CA 90274-2549

Phone

(786) 263-8770

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Renata Ferreira Xanthakis, PTNPI 1689380263

Title

Owner

Phone

(786) 263-8770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Renata Ferreira Xanthakis, PT

  • Physical Therapist
  • Torrance, CA
  • NPI 1689380263
  NPD Authorized official

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1518735463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PALOS VERDES DR N STE 100",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742549",
            "telephone_number": "786-263-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PALOS VERDES DR N STE 100",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742549",
            "telephone_number": "786-263-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO MIND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "FERREIRA XANTHAKIS",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-263-8770",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.