Optc,Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTC,INC

Doing business as

ORTHOSPORT PHYSICAL THERAPY

Practice address

2200 Pacific Coast Hwy
Suite 218
Hermosa Beach, CA 90254-2757

Phone

(310) 937-8600

Fax

(310) 937-9769

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Cristina Carmen GaborNPI 1467533935

Title

Owner/Therapist

Phone

(310) 937-8600

Specialties & licenses 1

Addresses

Other names 1

• ORTHOSPORT PHYSICAL THERAPY Doing business as

Locations

Practitioners 3

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

• Cristina Carmen Gabor, PT

  • Physical Therapist
  • Culver City, CA
  • NPI 1467533935
  NPD (past) Authorized official
• Ngoc Young Bui, D.P.T

  • Physical Therapist
  • Hermosa Beach, CA
  • NPI 1205044047
  NPD (past)
• Eric John McCabe, DPT

  • Physical Therapist
  • Chino Hills, CA
  • NPI 1033231402
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871562744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "SUITE 218",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "310-937-8600",
            "fax_number": "310-937-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "SUITE 218",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "310-937-8600",
            "fax_number": "310-937-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABOR",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "310-937-8600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOSPORT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chizoba Okodogbe
• Layla Olive, M.S., CCC-SLP
• Mary Kay Oliveri, LCSW
• Paloma Olmedo-Cobian
• One Health Group Inc
• Optimized Psychiatry a Professional Nursing Corporation
• Brendan P Oreilly, MA, LMFT
• Stephanie Ortez, BCBA
• Melissa Osborn, M.D.
• Joshua Alberto Pacheco, M.ED., BCBA

• Physical Therapist in Hermosa Beach, CA
• Providers in Hermosa 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 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.