Individual provider Active NPI

Solomon Joseph, MPT

  • Physical Therapist
  • Signal Hill, CA
National Provider Identifier
1770689739
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19345 Issued in CA
Practice address
2501 Cherry Ave
Ste 250
Signal Hill, CA 90755-2031
Phone
(562) 595-5159
Fax
(562) 595-7839
NPI assigned
Sep 16, 2006
Last updated
Apr 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19345 CA Primary

Addresses

Primary practice location

2501 Cherry Ave
Ste 250
Signal Hill, CA 90755-2031

Mailing address

3635 Rose Ave
Long Beach, CA 90807
Phone (562) 490-0804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000096 CA Practitioner - Physical Therapist in Private Practice 4789735366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic Physical TherapyGroup PAC ID 1052343340, 5 clinicians

Practice addresses (Care Compare)

2501 Cherry Ave
Suite 250
Signal Hill, CA 90755-2041
Phone (562) 595-5159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19345CAMDClinical Social Worker
PT19345CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic Physical Therapy Physical Therapist CurrentSince Aug 19, 2002 Accepting new patients

Locations

4510 E Pacific Coast Hwy
Ste 305
Long Beach, CA 90804
Phone (562) 317-3050

2501 Cherry Ave
Ste 250
Signal Hill, CA 90755
Phone (562) 595-5159

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1770689739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 ROSE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-490-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHERRY AVE",
            "address_2": "STE 250",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552031",
            "telephone_number": "562-595-5159",
            "fax_number": "562-595-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SOLOMON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.