Active NPI
Joseph Gunnar Fillerup, P.T.
- Physical Therapist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292382
- Practice address
- 301 N Lake Ave
Suite 201
Pasadena, CA 91101-4107 - Phone
- (626) 568-9115
- NPI assigned
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 292382 | CA | Primary |
Addresses
Primary practice location
301 N Lake Ave
Suite 201
Pasadena, CA 91101-4107
Mailing address
2324 Bonita Ave
La Verne, CA 91750-4931
Other practice location 1
257 S Fair Oaks Ave Ste 120
Pasadena, CA 91105-4123
Phone (626) 585-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 N Lake Ave
Suite 201
Pasadena, CA 91101-5120
Phone (626) 568-9115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466
301 N Lake Ave
Ste 201
Pasadena, CA 91101
Phone (626) 568-9030
257 S Fair Oaks Ave
Ste 120
Pasadena, CA 91105
Phone (626) 585-1345
935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411
2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Physical Therapist
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
- Physical Therapy Clinic/Center
- Ridgecrest, CA
- NPI 1386228302
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1992247365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 BONITA AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N LAKE AVE",
"address_2": "SUITE 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911014107",
"telephone_number": "626-568-9115"
}
],
"practiceLocations": [
{
"address_1": "257 S Fair Oaks Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911054123",
"country_code": "US",
"telephone_number": "626-585-1345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILLERUP",
"first_name": "JOSEPH",
"middle_name": "GUNNAR",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-16",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.