1255489332 NPI number — HYMANSON PHYSICAL THERAPY, INC.

Table of content: (NPI 1255489332)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255489332 NPI number — HYMANSON PHYSICAL THERAPY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HYMANSON PHYSICAL THERAPY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255489332
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1217 9TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANHATTAN BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90266-6017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-477-8622
Provider Business Mailing Address Fax Number:
310-937-6926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1217 9TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANHATTAN BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90266-6017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-477-8622
Provider Business Practice Location Address Fax Number:
310-937-6926
Provider Enumeration Date:
01/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HYMANSON
Authorized Official First Name:
CARRIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
310-477-8622

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  PT7543 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: W21332 . This is a "MEDICARE PTAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ21430Z . This is a "BLUE SHIELD ID NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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