Advanced Sports Medicine & Orthopedic PT
NPI 1558406728 · Orthopedic Physical Therapist · Manhattan Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Sports Medicine & Orthopedic PT is a Orthopedic Physical Therapist organization in Manhattan Beach, CA (NPI 1558406728).
Provider details
- NPI number
- 1558406728
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dana Molina, Administrator(310) 416-9793
- License
- PT18890 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Frequently asked questions
- What is Advanced Sports Medicine & Orthopedic PT's NPI number?
- Advanced Sports Medicine & Orthopedic PT's National Provider Identifier (NPI) is 1558406728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Sports Medicine & Orthopedic PT?
- Advanced Sports Medicine & Orthopedic PT is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Advanced Sports Medicine & Orthopedic PT located?
- Advanced Sports Medicine & Orthopedic PT's practice location on file with NPPES is 1200 Rosecrans Ave Ste 206, Manhattan Beach, CA 90266-2451.
- What is Advanced Sports Medicine & Orthopedic PT's phone number?
- The practice phone number listed in the NPPES registry for Advanced Sports Medicine & Orthopedic PT is (310) 416-9700.
- Does Advanced Sports Medicine & Orthopedic PT accept Medicare?
- Advanced Sports Medicine & Orthopedic PT is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Sports Medicine & Orthopedic PT?
- The authorized official listed on Advanced Sports Medicine & Orthopedic PT's NPPES record is Dana Molina, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Sports Medicine & Orthopedic PT's NPI active?
- Yes — Advanced Sports Medicine & Orthopedic PT's NPI (1558406728) is active in the NPPES registry as of the last update on 2020-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.