NPIMap

Organization Active NPI

Gardena Physical Therapy & Rehabilitation Center

Doing business as Alan D Nitake dba

  • Physical Therapy Clinic/Center
  • Gardena, CA
National Provider Identifier
1902848492
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
W19976 Issued in CA
Legal business name
GARDENA PHYSICAL THERAPY & REHABILITATION CENTER
Doing business as
Alan D Nitake dba
Practice address
1300 W 155TH Street
Suite 203
Gardena, CA 90247
Phone
(310) 329-1444
Fax
(310) 329-9586
NPI assigned
Jun 11, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mr. Alan David Nitake, PTNPI 1790729606
Title
PT Owner
Phone
(310) 329-1444

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
Physical Therapy Clinic/Center 261QP2000X W19976 CA Primary

Addresses

Primary practice location

1300 W 155TH Street
Suite 203
Gardena, CA 90247

Mailing address

1300 W 155TH Street
Suite 203
Gardena, CA 90247
Phone (310) 329-1444

Other names 1

  • Alan D Nitake dba Doing business as

National Provider Directory

National Provider Directory

Locations

1045 W Redondo Beach Blvd
Ste 130
Gardena, CA 90247
Phone (310) 329-1444

1300 W 155th St
Ste 203
Gardena, CA 90247
Phone (310) 329-1444

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1902848492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 155TH STREET",
            "address_2": "SUITE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "310-329-1444",
            "fax_number": "310-329-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 155TH STREET",
            "address_2": "SUITE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "310-329-1444",
            "fax_number": "310-329-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENA PHYSICAL THERAPY & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "NITAKE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PT OWNER",
        "authorized_official_telephone_number": "310-329-1444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "W19976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan D Nitake dba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.