Provider Demographics
NPI:1912045105
Name:UNITED MEDICAL MANAGEMENT, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL MANAGEMENT, INC.
Other - Org Name:AMERICAN PHYSICAL THERAPY NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-643-1860
Mailing Address - Street 1:2221 ROSECRANS AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-4931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8300 GREENSBORO DR
Practice Address - Street 2:SUITE 800
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3605
Practice Address - Country:US
Practice Address - Phone:310-643-1640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy