Organization Active NPI

California Aquatic Therapy & Wellness Center, Inc.

Doing business as Pools of Hope

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1558513010
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CALIFORNIA AQUATIC THERAPY & WELLNESS CENTER, INC.
Doing business as
Pools of Hope
Practice address
6801 Long Beach Boulevard
Long Beach, CA 90805
Phone
(310) 537-2224
Fax
(310) 537-2255
NPI assigned
Oct 16, 2008
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Mrs. Patricia G Dixon
Title
Executive Director
Phone
(310) 293-7335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT6921 CA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6801 Long Beach Boulevard
Long Beach, CA 90805

Mailing address

6801 Long Beach Boulevard
Long Beach, CA 90805
Phone (310) 537-2224

Other names 1

  • Pools of Hope Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140711000511 CA Part B Supplier - Clinic/Group Practice 0244455020 Receives reassigned benefits from 3 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

6801 Long Beach Blvd
Long Beach, CA 90805
Phone (310) 537-2224

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1558513010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LONG BEACH BOULEVARD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "310-537-2224",
            "fax_number": "310-537-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LONG BEACH BOULEVARD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "310-537-2224",
            "fax_number": "310-537-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA AQUATIC THERAPY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-293-7335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT6921",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pools of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.