# ADI REHAB, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104850197
- **Authorized official:** MR. MICHAEL SEAN HAMPTON MPT (OWNER)
- **Authorized official phone:** (323) 933-9060

## Contact information

- **Practice address:** 10635 SANTA MONICA BLVD STE 165, LOS ANGELES, CA 90025-8306
- **Practice address phone:** (310) 481-0644
- **Practice address fax:** (310) 474-4034
- **Mailing address:** 10635 SANTA MONICA BLVD STE 165, LOS ANGELES, CA 90025-8306
- **Mailing address phone:** (310) 481-0644
- **Mailing address fax:** (310) 474-4034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 05/21/2020