OrganizationActive
Advanced Sports Medicine & Orthopedic PT
NPI 1558406728 · Orthopedic Physical Therapist · Manhattan Beach, CA
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
Detailed profile(89/100 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
1200 Rosecrans Ave Ste 206
Manhattan Beach, CA 90266-2451
Phone: (310) 416-9700
Fax: (310) 416-1120
Street-level locationGet directions
Mailing address
1200 Rosecrans Ave Ste 206
Manhattan Beach, CA 90266-2451
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-05-29
- Certified
- 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.