BEVERLY ORTHOPEDIC PHYSICAL THERAPY CENTER INC.

Provider Demographics

• NPI: 1205512829
• Name: BEVERLY ORTHOPEDIC PHYSICAL THERAPY CENTER INC.
• Entity type: Organization
• Organization Name: BEVERLY ORTHOPEDIC PHYSICAL THERAPY CENTER INC.
• Authorized Official - Title/Position: CEO/CFO
• Authorized Official - First Name: REKHA
• Authorized Official - Middle Name: SANJAY
• Authorized Official - Last Name: KAWANKAR
• Authorized Official - Credentials: DPT
• Authorized Official - Phone: 323-344-2630
• Mailing Address - Street 1: 3320 W BEVERLY BLVD
• Mailing Address - City: MONTEBELLO
• Mailing Address - State: CA
• Mailing Address - Zip Code: 90640-1537
• Mailing Address - Country: US
• Mailing Address - Phone: 323-477-1176
• Mailing Address - Fax: 323-477-1186
• Practice Address - Street 1: 2623 W BEVERLY BLVD
• Practice Address - City: MONTEBELLO
• Practice Address - State: CA
• Practice Address - Zip Code: 90640-2309
• Practice Address - Country: US
• Practice Address - Phone: 323-727-2887
• Practice Address - Fax: 323-727-2854
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2023-06-27
• Last Update Date: 2025-05-20

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251H1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Hand	Group - Multi-Specialty
No	2251S0007X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Sports	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225XE1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Ergonomics	Group - Multi-Specialty
No	225XF0002X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Feeding, Eating & Swallowing	Group - Multi-Specialty
No	225XH1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Hand	Group - Multi-Specialty
No	225XN1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Neurorehabilitation	Group - Multi-Specialty
No	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty