Individual provider Active NPI

Albert Quirap Escobar, PHYSICAL THERAPIST

  • Physical Therapy Clinic/Center
  • Montebello, CA
National Provider Identifier
1942448923
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT19096 Issued in CA
Practice address
433 N 4TH St
Ste 216
Montebello, CA 90640-4309
Phone
(323) 530-0433
Fax
(323) 530-0434
NPI assigned
Jan 28, 2009
Last updated
May 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT19096 CA Primary
Physical Therapist 225100000X 19096 CA

Addresses

Primary practice location

433 N 4TH St
Ste 216
Montebello, CA 90640-4309

Mailing address

1538 W Delvale St
West Covina, CA 91790-4545
Phone (323) 717-0450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001709 CA Practitioner - Physical Therapist in Private Practice 6608131081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqe Physical Therapy IncGroup PAC ID 5799040176, 2 clinicians

Practice addresses (Care Compare)

433 N 4TH St
Suite 216
Montebello, CA 90640-4309
Phone (323) 530-0433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19096CAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Aqe Physical Therapy, Inc Single Specialty CurrentSince Mar 1, 2018 Accepting new patients

Locations

433 N 4th St
Ste 216
Montebello, CA 90640
Phone (323) 530-0433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1942448923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 W DELVALE ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904545",
            "telephone_number": "323-717-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "STE 216",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-530-0433",
            "fax_number": "323-530-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "ALBERT",
        "middle_name": "QUIRAP",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT19096",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.