Exhale Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33897 Issued in CA

Legal business name

EXHALE PHYSICAL THERAPY INC

Practice address

326 S Pacific Coast Hwy Ste 100
Redondo Beach, CA 90277

Phone

(310) 896-8763

Fax

(310) 697-0754

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Jill Lister Whan, DPTNPI 1144413394

Title

Owner/Provider

Phone

(760) 715-9526

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jill Lister Whan, D.P.T.

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1144413394
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1962834275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3686",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771686",
            "telephone_number": "310-896-8763",
            "fax_number": "310-697-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S PACIFIC COAST HWY STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-896-8763",
            "fax_number": "310-697-0754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Sepulveda Blvd",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902666743",
            "country_code": "US",
            "telephone_number": "310-896-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXHALE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "WHAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LISTER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "760-715-9526",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "PT33897",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracie Jean Estes, LCSW
• Lila Eudave
• Jennifer Evans
• Kaitlyn Evans, ACSW
• Evolve Psychiatric Services, a Professional Nursing Corporation
• Exodus Recovery Inc
• Exodus Recovery, Inc.
• Eye Department Corp
• Kristen Leigh Fabiano, LMFT
• Angel Facey

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.