MARK ANTHONY SPORTS LLC
NPI 1225466964
Physical Therapist - Orthopedic in Redondo Beach, CA
- Organization
- Physical Therapist
- Orthopedic
About MARK ANTHONY SPORTS LLC
This page provides the complete NPI Profile along with additional information for Mark Anthony Sports Llc, a provider established in Redondo Beach, California operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1225466964 assigned on October 2013. The practitioner's primary taxonomy code is 2251X0800X with license number PT38186 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mark Anthony Payares Dpt (Owner)
- NPI
- 1225466964 Verify this NPI
- Provider Name
- MARK ANTHONY SPORTS LLC
- Entity Type
- Organization
- Location Address
- 112 S CATALINA AVE SUITE 6 REDONDO BEACH, CA 90277
- Location Phone
- (310) 801-8879
- Location Fax
- (866) 602-2994
- Mailing Address
- 112 S CATALINA AVE SUITE 6 REDONDO BEACH, CA 90277
- Mailing Phone
- (310) 801-8879
- Mailing Fax
- (866) 602-2994
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2013
- Last Update Date
- 10-15-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT38186
- License State
- CA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225466964, enumerated as an "organization" on October 15, 2013.
The provider is located at 112 S CATALINA AVE SUITE 6 REDONDO BEACH, CA 90277 and the phone number is (310) 801-8879.
Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.
