ADVANCED THERAPY CENTER (NPI# 1265930903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265930903 |
| Entity Type | Organization |
| Organization Name | ADVANCED THERAPY CENTER |
| Practice Address |
3475 Torrance Blvd Ste B2 Torrance CA 90503-5800 |
| Practice Telephone | 3103167748 |
| Practice Fax Number | 3103167648 |
| Mailing Telephone | 3103167748 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2020-08-28 |
| NPI Deactivation Date | 04/08/2020 |
| NPI Reactivation Date | 2020-04-15 |
| Authorized Official Name | MR. MANOJ PARIDA (PRESIDENT) |
| Authorized Official Telephone | 8183145774 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | OT817 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Advanced Therapy Center LLC | 1234 Summer St, Stamford, CT 06905 |
| Street Address |
3475 TORRANCE BLVD STE B2 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679809172 | Holly M Neumann | Occupational Therapist | 2808 Columbia St, Torrance, CA 90503-3808 | 2009-10-19 |
| 1043498082 | Palos Verdes Hand Therapy | Occupational Therapist | 3400 Lomita Blvd, Suite 401a, Torrance, CA 90505-4929 | 2008-02-01 |
| 1942404033 | Heather Kathleen Hopkins | Occupational Therapist | 3475 Torrance Blvd, Suite B-2, Torrance, CA 90503-5800 | 2007-06-12 |
| 1952441529 | Lisa D'andrade | Occupational Therapist | 19000 Hawthorne Blvd, Suite 230, Torrance, CA 90503-1517 | 2007-02-06 |
| 1790735355 | Ellen Hyo Jung Jung Lee | Occupational Therapist | 19000 Hawthorne Blvd, Suite 230, Torrance, CA 90503-1517 | 2006-05-12 |
| 1134179724 | Audrey Dewhirst | Occupational Therapist | 19000 Hawthorne Blvd, Suite 230, Torrance, CA 90503-1517 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
| 1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
| 1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
| 1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
| 1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
| 1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
| 1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
| 1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
| 1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
| 1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.