Organization Active NPI

J S Rehabilitation and DC, Inc

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1780806182
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT8004 Issued in CA
Legal business name
J S REHABILITATION AND DC, INC
Practice address
304 N Kenmore Ave
Los Angeles, CA 90004-3316
Phone
(323) 662-8381
NPI assigned
May 3, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jungsik Jin, RPT
Title
Ceo
Phone
(818) 541-0833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17006 CA
Occupational Therapist 225X00000X OT8004 CA Primary

Addresses

Primary practice location

304 N Kenmore Ave
Los Angeles, CA 90004-3316

Mailing address

3114 Henrietta Ave
La Crescenta, CA 91214-1913
Phone (818) 541-0833

National Provider Directory

National Provider Directory

Locations

2010 Wilshire Blvd
Ste 1010
Los Angeles, CA 90057
Phone (213) 413-1322

2139 W 6th St
Los Angeles, CA 90057
Phone (213) 353-0530

3130 W Olympic Blvd
Unit 290
Los Angeles, CA 90006
Phone (323) 735-5630

11846 Rosecrans Ave
Ste 106
Norwalk, CA 90650
Phone (818) 337-9090

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780806182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 HENRIETTA AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141913",
            "telephone_number": "818-541-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N KENMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043316",
            "telephone_number": "323-662-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S REHABILITATION AND DC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "JUNGSIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-541-0833",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17006",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.