121 Rehab Physical Therapy Corp

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5319 Issued in CA

Legal business name

121 REHAB PHYSICAL THERAPY CORP

Practice address

1940 N. Orange Grove Avenue Suite a
Pomona, CA 91767

Phone

(909) 620-8443

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Armando Kim, O.T.NPI 1376589705

Title

President

Phone

(909) 620-8443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Hossein Tayebi, PHYSICAL THERAPIST

  • Physical Therapist
  • Pomona, CA
  • NPI 1790722056

  CA

  Medicare reassignment NPD
• Armando Kim, OTR/L

  • Hand Occupational Therapist
  • Pomona, CA
  • NPI 1376589705
  NPD (past) Authorized official
• Karina Dominguez, P.T.

  • Physical Therapist
  • Pomona, CA
  • NPI 1356387138

  Physical Therapy

  NPD (past)
• Jonathan Newman, DPT

  • Physical Therapist
  • Pomona, CA
  • NPI 1235304221
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962431049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N ORANGE GROVE AVE STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N. ORANGE GROVE AVENUE SUITE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-620-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121 REHAB PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-620-8443",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 On 1 Rehab Corpration
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• A Francini MD, PC
• A. R. Mohan, MD Inc.
• A. Reenu Paliwal MD Mba MPH, Inc.
• A2Z Medical Supply

• All providers in Pomona, CA
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.