ROSE BOWL AQUATICS CENTER (NPI# 1912521642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912521642 |
| Entity Type | Organization |
| Organization Name | ROSE BOWL AQUATICS CENTER |
| Practice Address |
360 N Arroyo Blvd Pasadena CA 91103-3201 |
| Practice Telephone | 6265640330 |
| Mailing Telephone | 6265640330 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | JAMIE ANNE O'CONNOR (DIRECTOR OF THERAPY DEPARTMENT) |
| Authorized Official Telephone | 6265640330 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rose Bowl Aquatics Center | Doing Business As Name - Organization |
| Street Address |
360 N ARROYO BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464017 | Jonathan Chang | Physical Therapy Assistant | 360 N Arroyo Blvd, Pasadena, CA 91103-3201 | 2020-10-16 |
| 1295333805 | Lori Levine | Physical Therapy Assistant | 360 N Arroyo Blvd, Pasadena, CA 91103-3201 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215594981 | Aim Physical Therapy, Inc. | Clinic/Center | 1021 E Walnut St Ste 101, Pasadena, CA 91106-1479 | 2019-05-28 |
| 1558874719 | Julia Hayes | Clinic/Center | 180 S Madison Ave Apt 4, Pasadena, CA 91101-2573 | 2017-11-09 |
| 1669787495 | Arroyo Physical Therapy | Clinic/Center | 1720 E Washington Blvd, 208, Pasadena, CA 91104-2779 | 2010-08-17 |
| 1619122819 | Kimberly J. Bozart, Physical Therapy, A Professional Corporation | Clinic/Center | 345 S Lake Ave, Suite 201, Pasadena, CA 91101-5030 | 2008-12-02 |
| 1417111873 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 177 E Colorado Blvd, Pasadena, CA 91105-1936 | 2008-07-15 |
| 1033395405 | Select Physical Therapy Holdings Inc | Clinic/Center | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2008-01-16 |
| 1386827384 | Therapy Right | Clinic/Center | 615 Harris Ave, Pasadena, TX 77506-3114 | 2007-12-12 |
| 1588865877 | Perry Health & Rehabilitation PC | Clinic/Center | 1001 Fairmont Pkwy Ste L, Pasadena, TX 77504-2970 | 2007-05-31 |
| 1427163237 | Puno Physical Therapy Services, Inc | Clinic/Center | 750 E Green St, 308, Pasadena, CA 91101-2120 | 2006-08-20 |
| 1225009871 | Vincent Physical Therapy Corporation | Clinic/Center | 2700 E Foothill Blvd Ste 101, Pasadena, CA 91107-3443 | 2006-01-31 |
| Find all providers in PASADENA | ||||
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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.