NPIMap

Organization Active NPI

Alliance Rehab Inc

  • Physical Therapy Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1851636625
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT26455 Issued in CA
Legal business name
ALLIANCE REHAB INC
Practice address
9555 Warner Ave
Suite a
Fountain Valley, CA 92708-2827
Phone
(714) 968-8700
Fax
(714) 968-8804
NPI assigned
Dec 6, 2012
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Hung Ngo, DPTNPI 1346482106
Title
Director
Phone
(714) 968-8700

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 PT26455 CA Primary

Addresses

Primary practice location

9555 Warner Ave
Suite a
Fountain Valley, CA 92708-2827

Mailing address

9555 Warner Ave
Suite a
Fountain Valley, CA 92708-2827
Phone (714) 968-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150616002800 CA Part B Supplier - Clinic/Group Practice 4082925128 Receives reassigned benefits from 4 practitioners
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

9555 Warner Ave
Ste A
Fountain Valley, CA 92708
Phone (714) 968-8700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1851636625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 WARNER AVE",
            "address_2": "SUITE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082827",
            "telephone_number": "714-968-8700",
            "fax_number": "714-968-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 WARNER AVE",
            "address_2": "SUITE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082827",
            "telephone_number": "714-968-8700",
            "fax_number": "714-968-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "HUNG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-968-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT26455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.