Organization Active NPI

Physical Therapy Concepts, Inc

  • Physical Therapy Clinic/Center
  • Torrance, CA
National Provider Identifier
1972029106
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
33601 Issued in CA
Legal business name
PHYSICAL THERAPY CONCEPTS, INC
Practice address
3858 W Carson St Ste 115
Torrance, CA 90503-6705
Phone
(310) 995-0779
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Carlo Reyes, DPTNPI 1164681920
Title
Physical Therapyist/ Owner
Phone
(310) 995-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 33601 CA Primary

Addresses

Primary practice location

3858 W Carson St Ste 115
Torrance, CA 90503-6705

Mailing address

3858 W Carson St Ste 115
Torrance, CA 90503-6705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127003092 CA Part B Supplier - Clinic/Group Practice 6901163070 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

3858 W Carson St
Ste 115
Torrance, CA 90503
Phone (310) 543-0779

3848 W Carson St
Ste 215
Torrance, CA 90503
Phone (310) 543-0779

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1972029106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST STE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST STE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036705",
            "telephone_number": "310-995-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CONCEPTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "PHYSICAL THERAPYIST/ OWNER",
        "authorized_official_telephone_number": "310-995-0779",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "33601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.