Ocean Physical Therapy & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20610 Issued in CA

Legal business name

OCEAN PHYSICAL THERAPY & WELLNESS

Practice address

861 Via de la Paz Ste F
Pacific Palisades, CA 90272-5208

Phone

(999) 999-9999

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Michelle Schrader, PT, MBANPI 1285751297

Title

President

Phone

(999) 999-9999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Schrader, P.T.

  • Physical Therapist
  • Pacific Palisades, CA
  • NPI 1285751297
  Medicare reassignment NPD Authorized official
• Kimberly J Russell, P.T.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1992718837
  NPD (past)
• Alison Klossner, PT, DPT

  • Physical Therapist
  • Clackamas, OR
  • NPI 1477682250
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1700052503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 VIA DE LA PAZ STE F",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725208",
            "telephone_number": "999-999-9999",
            "fax_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 VIA DE LA PAZ STE F",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725208",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "999-999-9999",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Nedjat-Haiem, LCSW
• Kelly L. Newman, M.S., CCC-SLP
• Harris Newmark III, M.D.
• Van T Nguyen, M.D.
• Ocean Physical Therapy & Wellness
• Barbara Dee Olson, M.S. CCC-SLP
• Karin Deming Olson, LCSW
• Michelle Deanne Oneill, PHD RN
• Options Counseling Center a Psychological Corporation
• Catherine Owens, MA

• Physical Therapist in Pacific Palisades, CA
• Providers in Pacific Palisades, 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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.