Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Sports Medicine & Orthopedic PT

Organization Orthopedic Physical Therapist · NPI 1558406728

Advanced Sports Medicine & Orthopedic PT is an Orthopedic Physical Therapist in Manhattan Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1200 Rosecrans Ave Ste 206
Manhattan Beach, CA 90266-2451
Phone: (310) 416-9700
Fax: (310) 416-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT18890 (CA)

Record details

NPI number1558406728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Molina — Administrator · (310) 416-9793
NPI enumeratedFebruary 21, 2007
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address1200 Rosecrans Ave Ste 206, Manhattan Beach, CA 90266-2451

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