Sports Medicine Physical Therapy Group Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT10483 Issued in CA

Legal business name

SPORTS MEDICINE PHYSICAL THERAPY GROUP INC.

Practice address

650 Foothill Blvd
La Canada, CA 91011-3429

Phone

(818) 952-0906

NPI assigned

May 15, 2007

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Mori, P.T.NPI 1619998101

Title

President

Phone

(818) 952-0906

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Kiang

  • Physical Therapist
  • Glendale, CA
  • NPI 1124508510

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kevin Kei Okura, PT

  • Orthopedic Physical Therapist
  • Glendale, CA
  • NPI 1346487006
  Medicare reassignment Care Compare group NPD
• Ann Mori, PT

  • Physical Therapist
  • La Canada Flintridge, CA
  • NPI 1619998101
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1548476401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113429",
            "telephone_number": "818-952-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113429",
            "telephone_number": "818-952-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE PHYSICAL THERAPY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MORI",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-952-0906",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT219",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Singer, L.AC.
• Jay Jadech Siritaranukul, PTA
• Kathleen A Smith, MD
• Astrid Soegaard, D.M.D.
• Denise Adana Soto, D.O.
• Elgan Pitts Stamper III, D.D.S.
• Kathy Lynn Stein
• Susan Jo Stein, M.D.
• Sona A. Stevens, L.AC.
• Duncan Ross Still

• Physical Therapy Clinic/Center in La Canada, CA
• Providers in La Canada, 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 Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.