Maximum Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

28713 Issued in CA

Legal business name

MAXIMUM PHYSICAL THERAPY

Practice address

1228 S San Gabriel Blvd
B
San Gabriel, CA 91776-3170

Phone

(626) 291-5025

Fax

(626) 291-5055

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dongchang Yang, PTNPI 1174567093

Title

DPT/Ceo

Phone

(626) 291-5025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Dongchang Yang, DPT

  • Physical Therapy Clinic/Center
  • San Gabriel, CA
  • NPI 1174567093
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1912140187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 S SAN GABRIEL BLVD",
            "address_2": "B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763170",
            "telephone_number": "626-291-5025",
            "fax_number": "626-291-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 S SAN GABRIEL BLVD",
            "address_2": "B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763170",
            "telephone_number": "626-291-5025",
            "fax_number": "626-291-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "DONGCHANG",
        "authorized_official_title_or_position": "DPT/CEO",
        "authorized_official_telephone_number": "626-291-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "28713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briseida Martinez
• Yaritza Martinez
• Carl E. Marusak, M.D.
• Jarvitz Mason
• Katelyn Mathewson
• Ciera McKay
• Melissa Medel
• Medex Medical Group Inc
• Medicine Shoppe
• Ishna Selena Medina, CMT

• Physical Therapy Clinic/Center in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.