NPIMap

Organization Active NPI

Positive Energy Physical Therapy Inc

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1992001341
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29414 Issued in CA
Legal business name
POSITIVE ENERGY PHYSICAL THERAPY INC
Practice address
1912 S Pacific Coast Hwy
Redondo Beach, CA 90277-6118
Phone
(310) 540-5758
Fax
(310) 540-5404
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Sean Ryan, PTNPI 1730286410
Title
Director
Phone
(310) 654-9500

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 29414 CA Primary

Addresses

Primary practice location

1912 S Pacific Coast Hwy
Redondo Beach, CA 90277-6118

Mailing address

1912 S Pacific Coast Hwy
Redondo Beach, CA 90277-6118
Phone (310) 540-5758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000223 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739362781 Receives reassigned benefits from 6 practitioners
Practice locations: Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

1912 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (310) 309-2091

Practitioners & affiliated clinicians

Practitioners 6

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": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1992001341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776118",
            "telephone_number": "310-540-5758",
            "fax_number": "310-540-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776118",
            "telephone_number": "310-540-5758",
            "fax_number": "310-540-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE ENERGY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-654-9500",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.