Proactive Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROACTIVE REHABILITATION LLC

Practice address

210 N Aviation Blvd
Manhattan Beach, CA 90266-7015

Phone

(951) 696-9353

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Gabriela Litt

Title

Provider Relations Supervisor

Phone

(951) 696-9353

Specialties & licenses 2

Addresses

Other names 1

• Proactive Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1750127767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE C",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302740",
            "telephone_number": "951-696-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N AVIATION BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667015",
            "telephone_number": "951-696-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "LITT",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "951-696-9353"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mileva Popovic
• Erica A Portillo, LCSW
• Sarah Pizzo Press, MFT
• Sarah Pridonoff, MA, BCBA
• Brigitte Prinzivalli-Rolfe, MD, MPH
• John Wesley Probst, PHARMD
• Sean David Prusky, DDS
• Psychcounsel
• Psychcounsel LLC
• Psychological Wellness

• Physical Therapy Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.