Active NPI
Wellness Physical Therapy, Inc.
- Physical Therapist
- Hermosa Beach, CA
National Provider Identifier
1710001656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13705
- Legal business name
- WELLNESS PHYSICAL THERAPY, INC.
- Practice address
- 2532 Hermosa Ave
Suite a
Hermosa Beach, CA 90254-2515 - Phone
- (310) 619-6942
- NPI assigned
- Mar 18, 2007
- 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
- Salvatore Cosentino
- Title
- President and Ceo
- Phone
- (310) 619-6942
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13705 | CA | Primary |
Addresses
Primary practice location
2532 Hermosa Ave
Suite a
Hermosa Beach, CA 90254-2515
Mailing address
2532 Hermosa Ave
Suite a
Hermosa Beach, CA 90254-2515
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hermosa Beach, CA
- NPI 1104940667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710001656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 HERMOSA AVE",
"address_2": "SUITE A",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2532 HERMOSA AVE",
"address_2": "SUITE A",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542515",
"telephone_number": "310-619-6942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COSENTINO",
"authorized_official_first_name": "SALVATORE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "310-619-6942"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT13705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.