SOUTH PACIFIC REHABILITATION SERVICES, INC (NPI# 1669572707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669572707 |
| Entity Type | Organization |
| Organization Name | SOUTH PACIFIC REHABILITATION SERVICES, INC |
| Practice Address |
830 South Citrus Ave, Suite 203 Azusa CA 91702-5911 |
| Mailing Address |
16260 Ventura Blvd Ste 600 Encino CA 91436-4604 |
| Practice Telephone | 6263396514 |
| Practice Fax Number | 6263396573 |
| Mailing Telephone | 8189861977 |
| Mailing Fax Number | 8189864757 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MR. CALVIN IYOYA (CHIEF OPERATION OFFICER) |
| Authorized Official Telephone | 8189861977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811348857 | South Pacific Rehabilitation Services, Inc | Clinic/Center | 12047 Stewarton Dr, Porter Ranch, CA 91326-1156 | 2016-06-30 |
| 1447205828 | South Pacific Rehabilitation Services, Inc | Physical Therapist | 44303 Lowtree Ave, Lancaster, CA 93534-4149 | 2006-05-23 |
| Street Address |
830 SOUTH CITRUS AVE, SUITE 203 |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428749 | Lor-shing Hsu | Physical Therapist | 517 N Laurel Valley Dr, Azusa, CA 91702-1847 | 2018-12-16 |
| 1467840876 | Delina Carmella Korbel | Physical Therapist | 625 N Cerritos Ave Apt C, Azusa, CA 91702-3001 | 2015-01-07 |
| 1073911277 | Yoxy Jurado | Physical Therapist | 543 E Arrow Hwy, Apt. 7, Azusa, CA 91702-5754 | 2014-12-21 |
| 1417257684 | Shantel Lagadon Phillips | Physical Therapist | 601 E 8th St Apt 202, Azusa, CA 91702-2585 | 2010-10-21 |
| 1417196817 | Todd Alan Opsvig | Physical Therapist | 830 S Citrus Ave, Azusa, CA 91702-5911 | 2009-02-10 |
| 1346492113 | Daisy Ceniza | Physical Therapist | 784 W Lori Ann Ave, Azusa, CA 91702-1827 | 2008-10-10 |
| 1225232127 | Jayson John Sabio Soria | Physical Therapist | 18126 E Newburgh St, Azusa, CA 91702-5816 | 2007-06-13 |
| 1427096692 | Peter Quan | Physical Therapist | 830 S. Citrus Ave. Suite 203, Azusa, CA 91702 | 2006-06-02 |
| 1427035609 | Ronald Joseph Cervantes | Physical Therapist | 830 S Citrus Ave Ste 203, Azusa, CA 91702-5959 | 2005-12-28 |
| 1942699541 | Katie Akiko Fundakowski | Physical Therapist | 330 N Angeleno Ave, Azusa, CA 91702-3401 | 2015-01-20 |
| Find all providers in AZUSA | ||||
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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.