Organization Active NPI

Pacific Sports Pain Orthopedic Rehabilitation Therapy Specialists

  • Physical Therapy Clinic/Center
  • Torrance, CA
National Provider Identifier
1649322702
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PACIFIC SPORTS PAIN ORTHOPEDIC REHABILITATION THERAPY SPECIALISTS
Practice address
21203 Hawthorne Blvd Ste B
Torrance, CA 90503-5520
Phone
(310) 316-2368
Fax
(310) 316-9388
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Jospeh T. Chan, P.T.
Title
Director
Phone
(310) 316-2368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

21203 Hawthorne Blvd Ste B
Torrance, CA 90503-5520

Mailing address

PO Box 13186
Torrance, CA 90503-0186

National Provider Directory

National Provider Directory
Tax ID family
Joseph Chan Physical Therapy2 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

21203 Hawthorne Blvd
Ste B
Torrance, CA 90503
Phone (310) 316-2368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1649322702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13186",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905030186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21203 HAWTHORNE BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035520",
            "telephone_number": "310-316-2368",
            "fax_number": "310-316-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPORTS PAIN ORTHOPEDIC REHABILITATION THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JOSPEH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-316-2368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.