Nisha Pagan, DPT, PT, NCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT29070 Issued in CA

Practice address

4301 Atlantic Ave
Suite 6
Long Beach, CA 90807-2833

Phone

(562) 281-7369

Fax

(562) 296-4963

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Hearted Pediatric Physical Therapy

  • Pediatric Physical Therapist
  • Long Beach, CA
  • NPI 1902157522

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1972836054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE",
            "address_2": "SUITE 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-281-7369",
            "fax_number": "562-296-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE",
            "address_2": "SUITE 6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-281-7369",
            "fax_number": "562-296-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "NISHA",
        "credential": "DPT, PT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT29070",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT29070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Paer, LMFT, LPCC
• Leticia Stephanie Paez-Elizalde, CASE MANAGER
• Alexis Regina Pagala
• Jaime Pagan, PHARMACIST
• Michael Pagan
• Alma Page, LMFT
• Briar Williams Page
• Jilliane Parpana Pagulayan
• Shannon Lee Pai, MD
• Bridget Dione Paige-Gatling

• Pediatric Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.