DYNAMICS WALKAGAIN REHAB INC. (NPI# 1164564688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164564688 |
Entity Type | Organization |
Organization Name | DYNAMICS WALKAGAIN REHAB INC. |
Other Organization Name | DYNAMICS SPINAL CORD REHAB UNIT |
Practice Address |
1830 W Olympic Blvd Ste 130 Los Angeles CA 90006-3734 |
Mailing Address |
1830 W Olympic Blvd Ste 123 Los Angeles CA 90006-3734 |
Practice Telephone | 2133836860 |
Practice Fax Number | 2133836421 |
Mailing Telephone | 2133836860 |
Mailing Fax Number | 2133836421 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2019-02-08 |
Authorized Official Name | MR. PETER SEAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2133836860 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | GPT000880 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GPT000880 | 05 |
Other Name | Type Code |
---|---|
DYNAMICS SPINAL CORD REHAB UNIT | Former Legal Business Name - Organization |
Street Address |
1830 W OLYMPIC BLVD STE 130 |
City | LOS ANGELES |
State | CA |
Zip Code | 90006-3734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568509669 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1830 W Olympic Blvd, Suite #123, Los Angeles, CA 90006-3734 | 2007-01-30 |
1730569229 | New Rose Home Health Care, Inc. | Home Health | 1830 W Olympic Blvd, Unit 206, Los Angeles, CA 90006-3734 | 2015-06-01 |
1609280346 | Los Angeles Community Clinic, Inc. | Clinic/Center | 1830 W Olympic Blvd, Suite 124, Los Angeles, CA 90006-3734 | 2014-06-19 |
1225376213 | Paul Sucgang, D.o., Inc | Family Medicine | 1830 W Olympic Blvd, Suite 124, Los Angeles, CA 90006-3734 | 2013-01-25 |
1982888152 | Keyvan Amirikhorheh | General Practice | 1830 W Olympic Blvd, Unit 124, Los Angeles, CA 90006-3734 | 2007-12-24 |
1538348727 | Manuel Acevedo Medical Group, A Medical Corporation | General Practice | 1830 W Olympic Blvd, Ste. 124, Los Angeles, CA 90006-3734 | 2007-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
Find all providers in zip 90006 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
1770148132 | Rosette Physical Therapy, P.c | Clinic/Center | 6707 Springpark Ave Apt 6, Los Angeles, CA 90056-2305 | 2019-05-01 |
1225594815 | Phzio New Jersey, LLC | Clinic/Center | 2019 Clyde Ave, Los Angeles, CA 90016-1012 | 2019-02-19 |
1518459346 | Jason Ferine Physical Therapy Inc | Clinic/Center | 2300 Westwood Blvd Ste 100, Los Angeles, CA 90064-2045 | 2018-06-06 |
1609366319 | Jodi Loeffler Physical Therapy Inc | Clinic/Center | 3730 Moore St, Los Angeles, CA 90066-3530 | 2018-05-17 |
1275041964 | Clark Consulting and Physical Therapy Inc | Clinic/Center | 8436 W 3rd St Ste 602, Los Angeles, CA 90048-4186 | 2018-01-16 |
1932627163 | Regents of The Univ of California | Clinic/Center | 1131 Wilshire Boulevard, Suite 200, Los Angeles, CA 90404-1249 | 2017-09-08 |
1295275956 | Pt Stop Physical Therapy & Wellness, Inc | Clinic/Center | 3407 W 6th St Ste 514, Los Angeles, CA 90020-2552 | 2017-02-28 |
1740726470 | Steele Physical Therapy Inc | Clinic/Center | 742 S. Bronson Ave, Los Angeles, CA 90005 | 2017-01-19 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90006 |
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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.