Ladera Physiotherapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22486 Issued in CA

Legal business name

LADERA PHYSIOTHERAPY, INC

Practice address

401 E Hillcrest Blvd
Inglewood, CA 90301-2430

Phone

(310) 779-8901

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronnie Dale Johnson Jr., PT

Title

PT

Phone

(310) 779-8901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821146291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451972",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458525",
            "telephone_number": "310-779-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012430",
            "telephone_number": "310-779-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA PHYSIOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "310-779-8901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lara Lai
• Ana Laidley, LMFT
• Jorjana-Louisa Buencamino Lam, RN
• Danielle Renee Lancon, MSW
• Risha Nicole Land

• Physical Therapist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.