Individual provider Active NPI

Su Hee Whang, RPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1982902110
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37401 Issued in CA
Practice address
2727 W Olympic Blvd Ste 302
Los Angeles, CA 90006-2699
Phone
(213) 382-0088
Fax
(213) 380-2038
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37401 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd Ste 302
Los Angeles, CA 90006-2699

Mailing address

2727 W Olympic Blvd Ste 302
Los Angeles, CA 90006-2699
Phone (213) 382-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37401CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Rehab Physical Therapy Inc PastSince Feb 28, 2005 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1982902110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062699",
            "telephone_number": "213-382-0088",
            "fax_number": "213-380-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062699",
            "telephone_number": "213-382-0088",
            "fax_number": "213-380-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHANG",
        "first_name": "SU HEE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.