South Coast Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTH COAST PHYSICAL THERAPY

Practice address

5750 Downey Ave
#301
Lakewood, CA 90712

Phone

(562) 633-3501

Fax

(562) 633-6178

NPI assigned

Nov 16, 2006

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soad A Salam, RPTNPI 1194898130

Title

Physical Therapist Office Manager

Phone

(714) 842-6171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Soad A Salam, RPT BS PHYSICAL THER

  • Physical Therapist
  • Lakewood, CA
  • NPI 1194898130
  Medicare reassignment NPD Authorized official
• Adel A Salam, RPT BS PHYSICAL THER

  • Physical Therapist
  • Lakewood, CA
  • NPI 1124191168
  Medicare reassignment NPD
• Tammy Salam, D.P.T

  • Physical Therapist
  • Lakewood, CA
  • NPI 1477221356
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1861565806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17752 BEACH BLVD",
            "address_2": "#306",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92646",
            "telephone_number": "714-842-6171",
            "fax_number": "714-842-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE",
            "address_2": "#301",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-633-3501",
            "fax_number": "562-633-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "SALAM",
        "authorized_official_first_name": "SOAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OFFICE MANAGER",
        "authorized_official_telephone_number": "714-842-6171",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Patrick Sorenson, PA-C
• Manuel Soto Morales
• Source Mobility Incorporated
• South Cerritos Medical Group, Inc.
• South Coast Heart & Vascular a Medical Group Inc
• Southern California Immediate Medical Center
• Southern California Urology Medical Group
• Sowing Seeds Behavioral Services LLC (Sowing Seeds ABA)
• Kristen Spence, MSW CANDIDATE
• Spencer Sterling DPM

• Physical Therapy Clinic/Center in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.