Organization Active NPI

Chiropractic & Physical Therapy

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1972668028
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8264 Issued in CA
Legal business name
CHIROPRACTIC & PHYSICAL THERAPY
Practice address
3535 E 7TH St
Long Beach, CA 90804-5138
Phone
(562) 434-0062
Fax
(562) 439-4617
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Jesse M Valencia, PT, DC
Title
Owner
Phone
(562) 434-0062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT8264 CA Primary

Addresses

Primary practice location

3535 E 7TH St
Long Beach, CA 90804-5138

Mailing address

3535 E 7TH St
Long Beach, CA 90804-5138
Phone (562) 434-0062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1972668028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045138",
            "telephone_number": "562-434-0062",
            "fax_number": "562-439-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045138",
            "telephone_number": "562-434-0062",
            "fax_number": "562-439-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-434-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.