NPIMap

Organization Active NPI

Einhorn Mandas & Bradley Rehab Inc

Doing business as Los Alamitos Orthopedic & Sports Physical Therapy

  • Physical Therapist
  • Los Alamitos, CA
National Provider Identifier
1629094420
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EINHORN MANDAS & BRADLEY REHAB INC
Doing business as
Los Alamitos Orthopedic & Sports Physical Therapy
Practice address
5152 Katella Ave Ste 106
Los Alamitos, CA 90720-2843
Phone
(562) 431-6004
Fax
(562) 431-9854
NPI assigned
Jul 14, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Mr. Andrew Richard Einhorn, PTNPI 1043370463
Title
Owner
Phone
(562) 431-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CA Primary

Addresses

Primary practice location

5152 Katella Ave Ste 106
Los Alamitos, CA 90720-2843

Mailing address

5152 Katella Ave Ste 106
Los Alamitos, CA 90720-2843
Phone (562) 431-6004

Other identifiers 3

IdentifierTypeStateIssuer
126026700OtherCADEPT LABOR PROVIDER #
DF9194OtherCARR MC GRP NUMBER
W15187OtherCAMEDICARE GRP

Other names 1

  • LOS ALAMITOS ORTHOPEDIC & SPORTS PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102001196 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719949619 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory
Tax ID family
Einhorn Mandas and Bradley Rehab Inc - Los Alamitos Phy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19732 MacArthur Blvd
Ste 125
Irvine, CA 92612
Phone (949) 644-2002

4226 Katella Ave
Los Alamitos, CA 90720
Phone (562) 431-6004

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1629094420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 KATELLA AVE STE 106",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202843",
            "telephone_number": "562-431-6004",
            "fax_number": "562-431-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 KATELLA AVE STE 106",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202843",
            "telephone_number": "562-431-6004",
            "fax_number": "562-431-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINHORN MANDAS & BRADLEY REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "EINHORN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-431-6004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR PROVIDER  #",
            "identifier": "126026700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC GRP NUMBER",
            "identifier": "DF9194",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "W15187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS ALAMITOS ORTHOPEDIC & SPORTS PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOS ALAMITOS ORTHOPEDIC & SPORTS PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.