NPIMap

Organization Active NPI

Empower Physical Therapy and Wellness, Inc

Doing business as Empower Physical Therapy and Wellness

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Chino Hills, CA
National Provider Identifier
1649644915
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
33025 Issued in CA
Legal business name
EMPOWER PHYSICAL THERAPY AND WELLNESS, INC
Doing business as
Empower Physical Therapy and Wellness
Practice address
15944 Los Serranos Country Club Dr
Suite 250
Chino Hills, CA 91709-3993
Phone
(909) 907-0805
Fax
(909) 907-0735
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Lisa Sayo
Title
Owner
Phone
(909) 907-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 33025 CA Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr
Suite 250
Chino Hills, CA 91709-3993

Mailing address

15944 Los Serranos Country Club Dr Ste 250
Chino Hills, CA 91709-3992
Phone (909) 907-0805

Other practice location 1

5632 Philadelphia St # 102
Chino, CA 91710-2411
Phone (909) 925-0015

Other names 1

  • Empower Physical Therapy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324000872 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002112018 Receives reassigned benefits from 11 practitioners
Practice locations: Chino Hills, CA; Pomona, CA; Chino, CA

National Provider Directory

National Provider Directory

Locations

5632 Philadelphia St
Ste 102
Chino, CA 91710
Phone (909) 925-0015

15944 Los Serranos Country Club Dr
Ste 250
Chino Hills, CA 91709
Phone (909) 907-0805

801 Corporate Center Dr
Ste 120
Pomona, CA 91768

Practitioners & affiliated clinicians

Practitioners 12

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": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1649644915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 250",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093992",
            "telephone_number": "909-907-0805",
            "fax_number": "909-907-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR",
            "address_2": "SUITE 250",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093993",
            "telephone_number": "909-907-0805",
            "fax_number": "909-907-0735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5632 Philadelphia St # 102",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102411",
            "country_code": "US",
            "telephone_number": "909-925-0015",
            "fax_number": "909-925-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "SAYO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-907-0805"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "33025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.