Active NPI
Momentum Agencies
- Pediatric Physical Therapist
- Torrance, CA
National Provider Identifier
1871648279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- MOMENTUM AGENCIES
- Practice address
- 1815 W 213TH St
Suite 100
Torrance, CA 90501 - Phone
- (310) 328-0276
- Fax
- (310) 328-3094
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lori Lee Anderson
- Title
- President and Chef Executive Office
- Phone
- (818) 782-2211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1815 W 213TH St
Suite 100
Torrance, CA 90501
Mailing address
6430 Independence Ave
Woodland Hills, CA 91367
Phone (818) 782-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCT000530 | Other | CA | CALIF DEPT OF HEALTH SERV |
| GPT001530 | Other | CA | CALIF DEPT OF HEALTH SERV |
Other names 1
- Momentum
National Provider Directory
National Provider Directory- Tax ID family
- Momentum
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Torrance, CA
- NPI 1255779096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659052800000",
"number": "1871648279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 INDEPENDENCE AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91367",
"telephone_number": "818-782-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 213TH ST",
"address_2": "SUITE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90501",
"telephone_number": "310-328-0276",
"fax_number": "310-328-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM AGENCIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT AND CHEF EXECUTIVE OFFICE",
"authorized_official_telephone_number": "818-782-2211",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF DEPT OF HEALTH SERV",
"identifier": "GCT000530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF DEPT OF HEALTH SERV",
"identifier": "GPT001530",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Momentum",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.