NPIMap

Organization Active NPI

Ryu Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1790188928
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
41517 Issued in CA
Legal business name
RYU PHYSICAL THERAPY, PC
Practice address
520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425
Phone
(213) 365-0023
Fax
(323) 978-4342
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Minsik Ryu, P.T.NPI 1114288545
Title
President
Phone
(213) 365-0023

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 Therapy Clinic/Center 261QP2000X 41517 CA Primary

Addresses

Primary practice location

520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425

Mailing address

520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425
Phone (213) 365-0023

Other identifiers 1

IdentifierTypeStateIssuer
41517OtherCACALIFORNIA STATE BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141120002684 CA Part B Supplier - Clinic/Group Practice 1355563602 Receives reassigned benefits from 7 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

520 S Virgil Ave
Ste 504
Los Angeles, CA 90020
Phone (323) 866-5402

Practitioners & affiliated clinicians

Practitioners 9

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": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1790188928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201425",
            "telephone_number": "213-365-0023",
            "fax_number": "323-978-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201425",
            "telephone_number": "213-365-0023",
            "fax_number": "323-978-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYU PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "MINSIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-365-0023",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "41517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD",
            "identifier": "41517",
            "state": "CA"
        }
    ],
    "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 Jul 12, 2023; 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.