Active NPI
Whole Hearted Pediatric Physical Therapy
- Pediatric Physical Therapist
- Long Beach, CA
National Provider Identifier
1902157522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nisha Pagan, PT, DPT, NCS, PCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 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 DirectoryLocations
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.