Active NPI
Thera Ready, LLC
- Physical Medicine & Rehabilitation Physician
- Huntington Beach, CA
National Provider Identifier
1669099065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- THERA READY, LLC
- Practice address
- 7400 Center Ave
Huntington Beach, CA 92647 - Phone
- (540) 931-9150
- NPI assigned
- Jul 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lanita Mack
- Title
- Director of Operations
- Phone
- (310) 916-9423
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
7400 Center Ave
Huntington Beach, CA 92647
Mailing address
815 N la Brea Ave
Inglewood, CA 90302-2205
National Provider Directory
National Provider DirectoryLocations
7400 Center Ave
Huntington Beach, CA 92647
Phone (540) 931-9150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1669099065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 N LA BREA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903022205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 CENTER AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92647",
"telephone_number": "540-931-9150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERA READY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "LANITA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "310-916-9423"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.