NPIMap

Organization Active NPI

Incourage Physical Therapy

  • Physical Therapy Clinic/Center
  • Pasadena, CA
National Provider Identifier
1598029159
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT27434 Issued in CA
Legal business name
INCOURAGE PHYSICAL THERAPY
Practice address
2693 E Washington Blvd
Pasadena, CA 91107-1412
Phone
(626) 722-8032
Fax
(626) 722-5100
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Ndidiamaka Dillibe Matthews, DPTNPI 1295853489
Title
Owner
Phone
(213) 924-4377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT27434 CA
Physical Therapy Clinic/Center 261QP2000X PT27434 CA Primary

Addresses

Primary practice location

2693 E Washington Blvd
Pasadena, CA 91107-1412

Mailing address

582 Eldora Rd
Pasadena, CA 91104-3613
Phone (213) 924-4377

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1598029159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 ELDORA RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043613",
            "telephone_number": "213-924-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071412",
            "telephone_number": "626-722-8032",
            "fax_number": "626-722-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCOURAGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "NDIDIAMAKA",
        "authorized_official_middle_name": "DILLIBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-924-4377",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27434",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT27434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.