Organization Active NPI

Parisa Refaat Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Long Beach, CA
National Provider Identifier
1740427673
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
34230 Issued in CA
Legal business name
PARISA REFAAT PHYSICAL THERAPY INC.
Practice address
4028 E Broadway
Long Beach, CA 90803-1502
Phone
(562) 433-4331
Fax
(562) 433-4336
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Parisa Refaat, DPTNPI 1356538722
Title
Ceo/Owner
Phone
(562) 433-4331

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 34230 CA Primary

Addresses

Primary practice location

4028 E Broadway
Long Beach, CA 90803-1502

Mailing address

4028 E Broadway
Long Beach, CA 90803-1502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130816000015 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719036631 Receives reassigned benefits from 4 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

4028 E Broadway
Long Beach, CA 90803
Phone (562) 433-4331

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1740427673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031502",
            "telephone_number": "562-433-4331",
            "fax_number": "562-433-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISA REFAAT PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "REFAAT",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "562-433-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "34230",
            "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 Jan 14, 2009; 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.