Active NPI
Equip Physical Therapy and Rehabilitation Inc
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292473
- Legal business name
- EQUIP PHYSICAL THERAPY AND REHABILITATION INC
- Practice address
- 505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443 - Phone
- (213) 674-7699
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kang
- Title
- DPT
- Phone
- (213) 249-1150
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 292473 | CA | Primary |
Addresses
Primary practice location
505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443
Mailing address
505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443
Phone (213) 674-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
642 W Commonwealth Ave
Fullerton, CA 92832
Phone (213) 674-7699
505 S Virgil Ave
Ste 204A
Los Angeles, CA 90020
Phone (213) 674-7699
3544 W Olympic Blvd
#102
Los Angeles, CA 90019
Phone (213) 674-7699
4017 W Olympic Blvd
Los Angeles, CA 90019
Phone (323) 424-7333
3544 W Olympic Blvd
Ste 102
Los Angeles, CA 90019
3544 W Olympic Blvd
Unit 102
Los Angeles, CA 90019
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1265977896
-
- Physical Therapist
- Fullerton, CA
- NPI 1922828706
-
- Physical Therapy Assistant
- Los Angeles, CA
- NPI 1114616984
-
- Physical Therapy Assistant
- Los Angeles, CA
- NPI 1104749498
-
- Physical Therapy Assistant
- Los Angeles, CA
- NPI 1457201790
-
- Physical Therapy Assistant
- Los Angeles, CA
- NPI 1154271484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682467200000",
"number": "1831625839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE STE 204A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201443",
"telephone_number": "213-674-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE STE 204A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201443",
"telephone_number": "213-674-7699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUIP PHYSICAL THERAPY AND REHABILITATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DPT",
"authorized_official_telephone_number": "213-249-1150"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "292473",
"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 Apr 26, 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.