Organization Active NPI

Premiere Physical Therapy and Rehabilitation

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1861430571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIERE PHYSICAL THERAPY AND REHABILITATION
Practice address
403 N Pacific Coast Hwy
201
Redondo Beach, CA 90277-2839
Phone
(310) 798-8777
Fax
(310) 798-8783
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Naim, DCNPI 1992748412
Title
Director
Phone
(310) 798-8777

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

403 N Pacific Coast Hwy
201
Redondo Beach, CA 90277-2839

Mailing address

403 N Pacific Coast Hwy
201
Redondo Beach, CA 90277-2839
Phone (310) 798-8777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861430571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N PACIFIC COAST HWY",
            "address_2": "201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772839",
            "telephone_number": "310-798-8777",
            "fax_number": "310-798-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N PACIFIC COAST HWY",
            "address_2": "201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772839",
            "telephone_number": "310-798-8777",
            "fax_number": "310-798-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-798-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • 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.