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

Proformance Physical Therapy and Rehabilitation, Inc

Organization Orthopedic Physical Therapist · NPI 1538166079

Proformance Physical Therapy and Rehabilitation, Inc is an Orthopedic Physical Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

490 S San Vicente Blvd Ste 3
Los Angeles, CA 90048-4132
Phone: (323) 655-9055
Fax: (323) 655-9255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT21545 (CA)

Record details

NPI number1538166079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Nelson — President · (323) 655-9055
Other names Pro Physical Therapy; Pro Physical Therapy
NPI enumeratedJune 30, 2005
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address2309 Pacific Ave, Manhattan Beach, CA 90266-2631

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