NPIMap

Organization Active NPI

CJ Physiotherapy Inc

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1639569312
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26577 Issued in CA
Legal business name
CJ PHYSIOTHERAPY INC
Practice address
1051 Bryan Ave
Suite 200
Tustin, CA 92780-4419
Phone
(714) 832-6780
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
James Kyong Cho, RPTNPI 1588731509
Title
Ceo
Phone
(714) 832-6780

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32102 CA
Physical Therapist 225100000X 26577 CA Primary
Occupational Therapist 225X00000X 5641 CA

Addresses

Primary practice location

1051 Bryan Ave
Suite 200
Tustin, CA 92780-4419

Mailing address

1051 Bryan Ave
Suite 200
Tustin, CA 92780-4419
Phone (714) 832-6780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150421000358 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153649264 Receives reassigned benefits from 4 practitioners
Practice locations: La Mirada, CA

National Provider Directory

National Provider Directory

Locations

12627 Santa Gertrudes Ave
Ste E
La Mirada, CA 90638
Phone (562) 902-6033

1051 Bryan Ave
Ste 200
Tustin, CA 92780
Phone (714) 832-6780

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1639569312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BRYAN AVE",
            "address_2": "SUITE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804419",
            "telephone_number": "714-832-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BRYAN AVE",
            "address_2": "SUITE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804419",
            "telephone_number": "714-832-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ PHYSIOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KYONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-832-6780",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32102",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26577",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.