Good Day Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GOOD DAY PHYSICAL THERAPY PC

Practice address

9019 Callita St
San Gabriel, CA 91775-2005

Phone

(626) 417-9879

NPI assigned

Apr 5, 2021

Last updated

Jun 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evan TirtaputraNPI 1083001234

Title

Owner

Phone

(626) 417-9879

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Evan Tirtaputra, DPT

  • Physical Therapist
  • Elkton, MD
  • NPI 1083001234

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1730768011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 CALLITA ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 CALLITA ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752005",
            "telephone_number": "626-417-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DAY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "TIRTAPUTRA",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-417-9879"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Glorioso
• Golden San Gabriel Optometric Vision Center
• James William Golden, M.D.
• Jasmine Gonzales Duarte
• Sara Gonzalez, M.A., BCBA
• Good Shepherd Ambulance LLC
• Deanne Gowey
• Andrea Graber
• Grace Home Health Care, LLC
• Sophie W Grace, ACUPUNCTURIST

• Physical Therapist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.