Individual provider Active NPI

Emily Fine, PHYSICAL THERAPY ASS

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1699834440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
AT-5389 Issued in CA
Practice address
1919 E Beverly Way
Unit 210
Long Beach, CA 90802-2068
Phone
(562) 901-9194
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AT-5389 CA Primary

Addresses

Primary practice location

1919 E Beverly Way
Unit 210
Long Beach, CA 90802-2068

Mailing address

1919 E Beverly Way
Unit 210
Long Beach, CA 90802-2068
Phone (562) 901-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT-5389CAMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
US Healthworks Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699834440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E BEVERLY WAY",
            "address_2": "UNIT 210",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022068",
            "telephone_number": "562-901-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E BEVERLY WAY",
            "address_2": "UNIT 210",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022068",
            "telephone_number": "562-901-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "EMILY",
        "credential": "PHYSICAL THERAPY ASS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "AT-5389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.