PACIFIC AQUATIC SPORTS REHABILITATION (NPI# 1154426575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154426575 |
| Entity Type | Organization |
| Organization Name | PACIFIC AQUATIC SPORTS REHABILITATION |
| Practice Address |
56 E Duarte Rd Arcadia CA 91006-3511 |
| Mailing Address |
707 S Garfield Ave Ste. 201 Alhambra CA 91801-5859 |
| Practice Telephone | 6265747766 |
| Practice Fax Number | 6265741071 |
| Mailing Telephone | 6266561260 |
| Mailing Fax Number | 6266561249 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TODD WITHERSPOON (BUSINESS COORDINATOR) |
| Authorized Official Telephone | 6266561260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
56 E DUARTE RD |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871888529 | Jonathan Jason Liem | Massage Therapist | 56 E Duarte Rd, Arcadia, CA 91006-3511 | 2011-06-10 |
| 1942438155 | Amy Michelle Hernandez | Chiropractor | 56 E Duarte Rd, Arcadia, CA 91006-3511 | 2009-06-25 |
| 1477701555 | Chung Lim | Chiropractor | 56 E Duarte Rd, Arcadia, CA 91006-3511 | 2008-09-03 |
| 1316165533 | Pacific Aquatic Physical Therapy | Clinic/Center | 56 E Duarte Rd, Arcadia, CA 91006-3511 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134318926 | Medford Orthopaedic Medical Corp | Orthopaedic Surgery | 301 W Huntington Dr Ste 617, Arcadia, CA 91007-1518 | 2007-10-17 |
| 1528176104 | Howard D Cantwell | Orthopaedic Surgery | 51 N. Fifth Ave, Suite 301, Arcadia, CA 91006 | 2006-08-25 |
| 1962447961 | Gregory Thomas Heinen | Orthopaedic Surgery | 301w Huntington Dr 617, Arcadia, CA 91007-1518 | 2006-06-17 |
| 1023004850 | Congress Medical Associates | Orthopaedic Surgery | 289 W Huntington Dr Ste 103, Arcadia, CA 91007-3492 | 2005-09-27 |
| 1255332318 | Charles Rodney Barnhart | Orthopaedic Surgery | 51 N 5th Ave, Suite 301, Arcadia, CA 91006-3739 | 2005-08-10 |
| 1023473709 | Gregory T. Heinen, M.d., Inc | Orthopaedic Surgery | 301 W Huntington Dr, Suite 617, Arcadia, CA 91007-3462 | 2015-12-22 |
| 1528433828 | C. Rodney Barnhart, M.d. Inc | Orthopaedic Surgery | 51 N 5th Ave, Suite 301, Arcadia, CA 91006-3710 | 2015-12-11 |
| 1083013981 | James J Femino | Orthopaedic Surgery | 51 N 5th Ave, Suite 301, Arcadia, CA 91006-3710 | 2014-08-15 |
| 1891109567 | Pacific Orthopaedic Medical Group, Inc | Orthopaedic Surgery | 289 West Huntington Drive, Suite 206, Arcadia, CA 91007 | 2014-06-20 |
| 1548507387 | John G. Colias, M.d., Inc. | Orthopaedic Surgery | 51 N 5th Ave, Suite 301, Arcadia, CA 91006-3710 | 2013-01-14 |
| Find all providers in ARCADIA | ||||
Please comment or provide details below to improve the information on PACIFIC AQUATIC SPORTS REHABILITATION.
| 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.