Integrated PT & Wellness Dba the Heights Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATED PT & WELLNESS DBA THE HEIGHTS PHYSICAL THERAPY

Practice address

3620 Long Beach Blvd Ste C11
Long Beach, CA 90807-6016

Phone

(714) 329-9105

NPI assigned

Sep 15, 2020

Organization subpart

Yes

Parent organization

INTEGRATED PT & WELLNESSAs reported in NPPES

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

Authorized official

Name

Puchna S DavisNPI 1023280179

Title

Provider

Phone

(562) 522-2661

Specialties & licenses 1

Addresses

Other names 1

• The Heights Physical Therapy Doing business as

Part of

Integrated PT Wellness

Locations

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.

• Integrated PT & Wellness

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1184237901
  NPPES parent name

Practitioners 1

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

• Puchna Suos Davis, PT

  • Physical Therapist
  • Long Beach, CA
  • NPI 1023280179
  NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1831705862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035950",
            "telephone_number": "562-522-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LONG BEACH BLVD STE C11",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076016",
            "telephone_number": "714-329-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PT & WELLNESS DBA THE HEIGHTS PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED PT & WELLNESS",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PUCHNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "562-522-2661"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heights Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.