AGENCY REHAB, INC. (NPI# 1962557942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962557942 |
| Entity Type | Organization |
| Organization Name | AGENCY REHAB, INC. |
| Practice Address |
3311 E Willow St Long Beach CA 90806-2310 |
| Mailing Address |
3248 E Willow St Signal Hill CA 90755-2309 |
| Practice Telephone | 5624262051 |
| Mailing Telephone | 5624262051 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN EUGENE SMITH (CEO) |
| Authorized Official Telephone | 5624262051 |
| 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 |
| Street Address |
3311 E WILLOW ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013943000 | Willow Medical Group | Anesthesiology | 3311 E Willow St, Long Beach, CA 90806 | 2006-06-23 |
| 1205050119 | Willow Medical Group | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-04-12 |
| 1134274244 | Dorothy Dalinoc Ulit | Physical Therapist | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-01-25 |
| 1699821785 | My-anh Cong-huyen Casner | Physical Therapist | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-01-25 |
| 1679635700 | Carla Dawn Scheel | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2006-12-14 |
| 1962587493 | Robb Russell | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841507993 | Lisa Nathanson, P.t. P.C. | Clinic/Center | 659 Shore Rd, 7b, Long Beach, NY 11561-4681 | 2010-09-10 |
| 1235313230 | C.a.r.e. Evaluators, LLC | Clinic/Center | 111 W Victoria St, Long Beach, CA 90805-2162 | 2007-12-27 |
| 1871716506 | Family Physical Therapy of South Ms | Clinic/Center | 19020 Pineville Rd, Suite 4, Long Beach, MS 39560-4564 | 2007-04-11 |
| 1205931482 | Advanced Orthopedic Physical Therapy | Clinic/Center | 4510 Pacific Coast Highway, Suite 305, Long Beach, CA 90804 | 2006-09-13 |
| 1902840721 | Matrix Rehabilitation, Inc. | Clinic/Center | 2401 E Wardlow Rd, M/c Co54-0405, Long Beach, CA 90807-5309 | 2006-06-15 |
| 1043833346 | Recharge Physical Therapy, Inc | Clinic/Center | 1777 N Bellflower Blvd Ste 205, Long Beach, CA 90815-4020 | 2020-05-20 |
| 1215396627 | Physical Therapy Fitness Team, Inc | Clinic/Center | 3535 E 7th St, Long Beach, CA 90804-5138 | 2016-02-12 |
| 1134521461 | Peak Physical Therapy and Wellness PC | Clinic/Center | 2713 Hackett Ave, Long Beach, CA 90815-1547 | 2014-09-18 |
| 1700195286 | Encore Rehabilitation, Inc. | Clinic/Center | 5132 Beatline Rd, Suite D, Long Beach, MS 39560-3869 | 2010-09-30 |
| 1740427673 | Parisa Refaat Physical Therapy Inc. | Clinic/Center | 4028 E Broadway, Long Beach, CA 90803-1502 | 2009-01-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.