Active NPI
Atp Physical Therapy PC
- Physical Therapist
- South Pasadena, CA
National Provider Identifier
1730197948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATP PHYSICAL THERAPY PC
- Practice address
- 1942 Huntington Dr
South Pasadena, CA 91030 - Phone
- (626) 403-6545
- Fax
- (626) 441-7660
- NPI assigned
- Aug 3, 2006
- Last updated
- Aug 9, 2018
- 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
- Christopher Mark Mallett, DPT
- Title
- President/Owner
- Phone
- (626) 403-6545
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 | NU | Primary |
Addresses
Primary practice location
1942 Huntington Dr
South Pasadena, CA 91030
Mailing address
1942 Huntington Dr
South Pasadena, CA 91030-4959
Phone (626) 403-6545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W19540 | Other | CA | GROUP ID FOR ATP PHYSICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1730197948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1942 HUNTINGTON DR",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304959",
"telephone_number": "626-403-6545",
"fax_number": "626-441-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1942 HUNTINGTON DR",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "91030",
"telephone_number": "626-403-6545",
"fax_number": "626-441-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATP PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "MALLETT",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "626-403-6545",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ID FOR ATP PHYSICAL",
"identifier": "W19540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.