ADVANCED SPORTS MEDICINE & ORTHOPEDIC PT
NPI 1558406728
Physical Therapist - Orthopedic in Manhattan Beach, CA

Q: What is Advanced Sports Medicine & Orthopedic Pt's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since February 21, 2007

1200 ROSECRANS AVE STE 206, MANHATTAN BEACH, CA 90266(310) 416-9700(310) 416-1120 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2020, Apr 22, 2020 (2 updates tracked since 2020).

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About Advanced Sports Medicine & Orthopedic Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPORTS MEDICINE & ORTHOPEDIC PT (NPI 1558406728) is a healthcare organization registered as an orthopedic in Manhattan Beach, California and active in the NPI registry since February 2007. The organization lists Dana Molina, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558406728

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameADVANCED SPORTS MEDICINE & ORTHOPEDIC PT

Location Address1200 ROSECRANS AVE STE 206Manhattan Beach, CA 90266-2451

Mailing Address1200 Rosecrans Ave Ste 206Manhattan Beach, CA 90266-2451 · (310) 416-9700 · Fax (310) 416-1120

Phone(310) 416-9700

Fax(310) 416-1120

Organization SubpartNo

Authorized OfficialDana MolinaAdministrator · (310) 416-9793

Enumeration DateFebruary 21, 2007

Last NPPES UpdateMay 29, 20202 updates tracked since enumeration

NPPES CertifiedMay 29, 2020

✔ NPI 1558406728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT18890

Definition

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.

1200 ROSECRANS AVE STE 206, Manhattan Beach, CA 90266

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Other Identifiers 1

OtherPT18890CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILEVA POPOVIC

Physical Therapist