Richard P Poulsen, MPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29339 Issued in CA

Practice address

3662 Katella Ave
Suite 105
Los Alamitos, CA 90720-3124

Phone

(562) 799-4494

Fax

(562) 280-0304

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regain Physical Therapy IncGroup PAC ID 6709236649, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regain Physical Therapy Inc

  • Physical Therapist
  • Fountain Valley, CA
  • NPI 1144007873
  Medicare reassignment Care Compare group NPD Authorized official
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1144954074

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD
• Bruce M Albert M D

  • Specialist
  • Newport Beach, CA
  • NPI 1811069818
  NPD (past)
• Jarrett Orthopaedic Rehabilitation, Inc

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1063402766
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659460103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE",
            "address_2": "SUITE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203124",
            "telephone_number": "562-799-4494",
            "fax_number": "562-280-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE",
            "address_2": "SUITE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203124",
            "telephone_number": "562-799-4494",
            "fax_number": "562-280-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN",
        "first_name": "RICHARD",
        "middle_name": "P",
        "credential": "MPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponciano Wellness, LLC
• Priscilla Popescu, SLPA, BA
• Sarah Popescu
• Sharon Popp
• Poppy Therapy, a Licensed Clinical Social Worker PC (Poppy Therapy)
• Amber Christina Powell, LVN
• Vanessa India Poydras
• Premier Senior Health Inc
• Primavera Counseling Licensed Clinical Social Worker Corporation
• Elizabeth Jane Prince, PHARMD

• Physical Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.