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SPORTS INJURY PHYSICAL THERAPY INC NPI 1073603858


NPI Information

NPI: 1073603858
Provider Name: SPORTS INJURY PHYSICAL THERAPY, INC

Doing Business As: PROFESSIONAL ORTHOPEDIC AND SPORTS CARE

Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

Address:
801 S RAYMOND AVE
PASADENA, CA
ZIP 91105
Phone: (626) 356-0599
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SPORTS INJURY PHYSICAL THERAPY, INC is a physical therapy clinic center in Pasadena, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. SPORTS INJURY PHYSICAL THERAPY, INC NPI is 1073603858. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Orthopedic And Sports Care.

The provider's business location address is:

801 S RAYMOND AVE
PASADENA, CA
ZIP 91105-223
Phone: (626) 356-0599
Fax: (626) 356-0570

The provider's authorized official is Kevin Lee Wentz .
The authorized official title is Owner and has the following contact phone number (626) 356-0599.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 5/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyWPT21776BCALIFORNIANo
2261QP2000XClinic/CenterPhysical TherapyWPT27120BCALIFORNIANo
3261QP2000XClinic/CenterPhysical TherapyWPT20125BCALIFORNIANo
4261QP2000XClinic/CenterPhysical TherapyWPT14957BCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W19033MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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