Organization Active NPI

Whole Hearted Pediatric Physical Therapy

  • Pediatric Physical Therapist
  • Long Beach, CA
National Provider Identifier
1902157522
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
WHOLE HEARTED PEDIATRIC PHYSICAL THERAPY
Practice address
4301 Atlantic Ave
Suite 6
Long Beach, CA 90807-2833
Phone
(562) 281-7369
Fax
(562) 296-4963
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Nisha Pagan, PT, DPT, NCS, PCSNPI 1972836054
Title
Owner / Doctor of Physical Therapy
Phone
(562) 281-7369

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
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

4301 Atlantic Ave
Suite 6
Long Beach, CA 90807-2833

Mailing address

4301 Atlantic Ave
Suite 6
Long Beach, CA 90807-2833
Phone (562) 281-7369

National Provider Directory

National Provider Directory

Locations

4301 Atlantic Ave
Ste 6
Long Beach, CA 90807
Phone (562) 281-7369

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": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1902157522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE",
            "address_2": "SUITE 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-281-7369",
            "fax_number": "562-296-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE",
            "address_2": "SUITE 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-281-7369",
            "fax_number": "562-296-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEARTED PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OWNER / DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "562-281-7369",
        "authorized_official_credential": "PT, DPT, NCS, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.