Individual provider Active NPI

Joana Amezcua, PT, DPT

  • Physical Therapist
  • Bellflower, CA
National Provider Identifier
1912779877
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304958 Issued in CA
Practice address
17042 Bellflower Blvd Ste 201
Bellflower, CA 90706-5950
Phone
(562) 991-1324
Fax
(562) 502-9862
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT304958 CA Primary

Addresses

Primary practice location

17042 Bellflower Blvd Ste 201
Bellflower, CA 90706-5950

Mailing address

817 W Beverly Blvd Ste 201
Montebello, CA 90640-4265
Phone (562) 991-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916003111 CA Practitioner - Physical Therapist in Private Practice 7911401773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manale Rehabilitation Network IncGroup PAC ID 0749676138, 6 clinicians

Practice addresses (Care Compare)

17042 Bellflower Blvd
Bellflower, CA 90706-5950
Phone (562) 991-1324

5161 Pomona Blvd
Suite 108And109
Los Angeles, CA 90022-1756
Phone (323) 895-7872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304958CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manale Rehabilitation Network Inc Physical Therapist CurrentSince May 30, 2025 Accepting new patients

Locations

17042 Bellflower Blvd
Ste 201
Bellflower, CA 90706
Phone (562) 991-1324

5161 Pomona Blvd
Ste 108109
Los Angeles, CA 90022
Phone 3238957872 ext. 201

817 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (562) 991-1324

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1912779877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W BEVERLY BLVD STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404265",
            "telephone_number": "562-991-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17042 BELLFLOWER BLVD STE 201",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065950",
            "telephone_number": "562-991-1324",
            "fax_number": "562-502-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZCUA",
        "first_name": "JOANA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.