Organization Active NPI

Western Physical Therapy Medical Group

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1790002194
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9082 Issued in CA
Legal business name
WESTERN PHYSICAL THERAPY MEDICAL GROUP
Practice address
21081 S Western Ave
Suite 160
Torrance, CA 90501-1703
Phone
(310) 782-3330
Fax
(310) 212-3461
NPI assigned
Apr 23, 2010
Organization subpart
Yes
Parent organization
WESTERN MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mr. Gary B Barlow, PA
Title
President
Phone
(310) 782-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT9082 CA Primary

Addresses

Primary practice location

21081 S Western Ave
Suite 160
Torrance, CA 90501-1703

Mailing address

21081 S Western Ave
Suite 160
Torrance, CA 90501-1703
Phone (310) 782-3330

National Provider Directory

National Provider Directory
Part of
Western Med Group Inc

Locations

21081 S Western Ave
Ste 160
Torrance, CA 90501
Phone (310) 782-3330

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1790002194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21081 S WESTERN AVE",
            "address_2": "SUITE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011703",
            "telephone_number": "310-782-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21081 S WESTERN AVE",
            "address_2": "SUITE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011703",
            "telephone_number": "310-782-3330",
            "fax_number": "310-212-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PHYSICAL THERAPY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MEDICAL GROUP, INC",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-782-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.