Organization Active NPI

Physical Therapy by Body Connection Inc.

  • Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1750795589
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26625 Issued in CA
Legal business name
PHYSICAL THERAPY BY BODY CONNECTION INC.
Practice address
2011 Cedar Ave
100
Manhattan Beach, CA 90266-2955
Phone
(310) 546-1444
Fax
(310) 546-1477
NPI assigned
Jun 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Danielle Christina Orland, PTNPI 1417054842
Title
President
Phone
(310) 546-1444

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 26625 CA Primary

Addresses

Primary practice location

2011 Cedar Ave
100
Manhattan Beach, CA 90266-2955

Mailing address

2011 Cedar Ave
100
Manhattan Beach, CA 90266-2955
Phone (310) 546-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140722002047 CA Part B Supplier - Clinic/Group Practice 9739305020 Receives reassigned benefits from 2 practitioners
Practice locations: Manhattan Beach, CA
O20210512000982 CA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 9739305020 Practice locations: Manhattan Beach, CA

National Provider Directory

National Provider Directory

Locations

2011 Cedar Ave
Ste 100
Manhattan Beach, CA 90266
Phone (310) 546-1444

2011 Cedar Ave
#100
Manhattan Beach, CA 90266
Phone (310) 546-1444

Practitioners & affiliated clinicians

Practitioners 2

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": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1750795589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CEDAR AVE",
            "address_2": "100",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662955",
            "telephone_number": "310-546-1444",
            "fax_number": "310-546-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CEDAR AVE",
            "address_2": "100",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662955",
            "telephone_number": "310-546-1444",
            "fax_number": "310-546-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY BY BODY CONNECTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "ORLAND",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-546-1444",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.