OrganizationActive
Innovative Rehab. Inc
NPI 1164590717 · Physical Therapist · Los Angeles, CA
Provider details
- NPI number
- 1164590717
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- James Cho, President(562) 965-1452
- License
- 26577 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
506 S Alvarado St
Los Angeles, CA 90057-2904
Phone: (213) 413-3038
Fax: (213) 484-4201
Street-level locationGet directions
Mailing address
15161 E. Riviera Lane
La Mirada, CA 90638
Other names (DBA / former)
- Other name
- Innovative Wellness Dba
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.