Insight Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

142012 Issued in CA

Legal business name

INSIGHT PHYSICAL THERAPY

Practice address

1811 Wilshire Blvd
Suite 110
Santa Monica, CA 90403-5651

Phone

(310) 453-8668

Fax

(310) 453-8662

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Derek Anthony Plonka, DPTNPI 1912172438

Title

Physical Therapist

Phone

(310) 453-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Insight Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Insight Physical Therapy Inc

  dba Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1356367874
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Anthony Plonka, DPT, MTOM

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1912172438
  NPD Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1780914234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WILSHIRE BLVD",
            "address_2": "SUITE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035651",
            "telephone_number": "310-453-8668",
            "fax_number": "310-453-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WILSHIRE BLVD",
            "address_2": "SUITE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035651",
            "telephone_number": "310-453-8668",
            "fax_number": "310-453-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "PLONKA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-453-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "142012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356367874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.