Organization Active NPI

Alfa Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1669708384
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3586 Issued in CA
Legal business name
ALFA PHYSICAL THERAPY, INC.
Practice address
12832 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2002
Phone
(714) 534-1100
Fax
(714) 534-1140
NPI assigned
Oct 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Dr. Mansour Tafreshi, D.C.NPI 1154439826
Title
President/Ceo
Phone
(714) 534-1100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT3586 CA Primary

Addresses

Primary practice location

12832 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2002

Mailing address

12832 Garden Grove Blvd
Suite B
Garden Grove, CA 92843-2002
Phone (714) 534-1100

National Provider Directory

National Provider Directory

Locations

12832 Garden Grove Blvd
Ste B
Garden Grove, CA 92843
Phone (714) 467-0293

23600 El Toro Rd
#D162
Lake Forest, CA 92630

Practitioners & affiliated clinicians

Practitioners 4

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": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1669708384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432002",
            "telephone_number": "714-534-1100",
            "fax_number": "714-534-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD",
            "address_2": "SUITE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432002",
            "telephone_number": "714-534-1100",
            "fax_number": "714-534-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI",
        "authorized_official_first_name": "MANSOUR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-534-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.