Long Beach Total Body Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LONG BEACH TOTAL BODY THERAPY INC

Practice address

295 E 3Rd St
A 100
Long Beach, CA 90802-3141

Phone

(562) 435-4561

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Philip Thames, PT

Title

Owner Clinical Director,

Phone

(562) 435-4561

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Leonard Ralph Bautista, M.P.T.

  • Physical Therapist
  • Long Beach, CA
  • NPI 1801083639
  NPD (past)
• John Anthony Berkovich Sr., PT

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1407073133
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1982751285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E 3RD ST",
            "address_2": "A 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023141",
            "telephone_number": "562-435-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E 3RD ST",
            "address_2": "A 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023141",
            "telephone_number": "562-435-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH TOTAL BODY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER CLINICAL DIRECTOR,",
        "authorized_official_telephone_number": "562-435-4561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Spring Family Medical GRP
• Long Beach Surgery Center, LP
• Long Beach Surgical Group a Medical Corporation
• Long Beach Surgical Institute
• Long Beach Surgicare LLC
• Long Beach Unified School District
• Long Beach VA
• Long Beach VA Healthcare System
• Long Beach VA Medical Center
• Long Beach Vamc

• Physical Therapist in Long Beach, CA
• Providers in Long 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 Jul 9, 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.