Koa Rehab & Physical Therapy Center, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KOA REHAB & PHYSICAL THERAPY CENTER, INC

Practice address

2140 W Olympic Blvd # 301
Los Angeles, CA 90006-2206

Phone

(213) 383-0191

Fax

(213) 383-0190

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Steven H McCormack, PTNPI 1164458709

Title

Owner

Phone

(213) 383-0191

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Steven Howard McCormack, MS PT

  • Physical Therapist
  • West Hills, CA
  • NPI 1164458709
  NPD (past) Authorized official
• Scott Takeshi Nakamoto, PT

  • Orthopedic Physical Therapist
  • Hacienda Heights, CA
  • NPI 1538111562
  NPD (past)
• Tomislav Andro Simunovic, R.P.T

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1629144472
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750401840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD # 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062206",
            "telephone_number": "213-383-0191",
            "fax_number": "213-383-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD # 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062206",
            "telephone_number": "213-383-0191",
            "fax_number": "213-383-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA REHAB & PHYSICAL THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-383-0191",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeong Min Ko
• Youjong Ko, MD
• Yuna Ko
• Ko's Acupuncture Clinic Inc
• Koa Dental
• Chan M Koak
• Jenna K Kobara, OTR/L
• Jayne Kobashigawa
• Jon A Kobashigawa, M.D.
• Laura Kobashigawa, MD

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• 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.

Verify at the official NPI Registry.