Montebello Physical Therapy Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6244 Issued in CA

Legal business name

MONTEBELLO PHYSICAL THERAPY CENTER

Practice address

433 N 4TH St
Suite 102
Montebello, CA 90640-4311

Phone

(323) 722-8280

Fax

(323) 722-9256

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Joan McCoy

Title

Manager

Phone

(323) 722-8020

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Montebello Therapy Center Doing business as

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1689718348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906400369",
            "telephone_number": "323-722-8020",
            "fax_number": "323-724-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "SUITE 102",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404311",
            "telephone_number": "323-722-8280",
            "fax_number": "323-722-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-722-8020"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W21697",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PTAN",
            "identifier": "WPT6244A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER",
            "identifier": "1023200011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montebello Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montebello Medical Center Inc.
• Montebello Medical Supply,Inc.
• Montebello Newlife Acupuncture Inc.
• Montebello Open MRI LLC
• Montebello Pharmacy,Inc
• Montebello Physicians Quality Care
• Montebello Quality Care Clinic
• Montebello Quality Care Clinic
• Montebello Recovery Center
• Montebello Surgery Center

• Physical Therapist in Montebello, CA
• Providers in Montebello, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.