Healthcare Provider Details

I. General information

NPI: 1487589933
Provider Name (Legal Business Name): PREFERRED PRACTICE THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W 190TH ST STE 360
GARDENA CA
90248-4338
US

IV. Provider business mailing address

1225 W 190TH ST STE 360
GARDENA CA
90248-4338
US

V. Phone/Fax

Practice location:
  • Phone: 310-819-8184
  • Fax:
Mailing address:
  • Phone: 310-819-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LORNA MOTEN
Title or Position: OWNER-SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 310-890-7720