PHYSICAL THERAPY CONCIERGE SERVICE INC (NPI# 1194135889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194135889 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY CONCIERGE SERVICE INC |
| Practice Address |
704 N. Irena B Redondo Beach CA 90277 |
| Mailing Address |
704 N Irena Ave B Redondo Beach CA 90277-2217 |
| Practice Telephone | 6617554751 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. MARIAM PASHTOONWAR BUTLER (DOCTOR OF PHYSICAL THERAPY) |
| Authorized Official Telephone | 6617554751 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
34642 | CA | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
32976 | CA | Ambulatory Health Care Facilities |
| Street Address |
704 N. IRENA B |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1427394014 | John Baptist Conca | Chiropractor | 1807 So. Catalina Ave, Redondo Beach, CA 90277 | 2012-12-31 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228650 | Train Recover Inspire Physical Therapy Inc. | Clinic/Center | 2455 190th St Ste A, Redondo Beach, CA 90278-5334 | 2018-03-12 |
| 1831432657 | Ocean Point Physical Therapy Inc | Clinic/Center | 234 S Pacific Coast Hwy Ste 206, Redondo Beach, CA 90277-7037 | 2013-03-29 |
| 1659535235 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1 Space Park Blvd, S1459, Redondo Beach, CA 90278-1001 | 2008-07-14 |
| 1578592424 | Redondo Orthopedic Physical Therapy | Clinic/Center | 520 N Prospect Ave Ste 100, Redondo Beach, CA 90277-3033 | 2006-07-02 |
| 1023529070 | Kelsea Teresa Brajkovich | Clinic/Center | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2017-10-17 |
| 1275802340 | Physiotherapy Associates Inc. | Clinic/Center | 2607 Manhattan Beach Blvd, Redondo Beach, CA 90278-1604 | 2011-12-20 |
| 1205935723 | Pro-health Physical Therapy Inc. | Clinic/Center | 2850 Artesia Blvd, Ste 207, Redondo Beach, CA 90278-3419 | 2006-09-21 |
| 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 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on PHYSICAL THERAPY CONCIERGE SERVICE INC.
| 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.