Healthcare Provider Details

I. General information

NPI: 1477086643
Provider Name (Legal Business Name): NRP PHYSICAL THERAPY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 MANHATTAN BEACH BLVD STE 102B
REDONDO BEACH CA
90278-1230
US

IV. Provider business mailing address

4001 INGLEWOOD AVE BLDG 1, SUITE 201
REDONDO BEACH CA
90278-1121
US

V. Phone/Fax

Practice location:
  • Phone: 310-337-7600
  • Fax: 310-337-7607
Mailing address:
  • Phone: 310-337-7600
  • Fax: 310-337-7607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. HERLENE LEW MCLEES
Title or Position: OWNER AND THERAPIST
Credential: P.T.
Phone: 310-337-7600