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ACTIVE HEALTH PHYSICAL THERAPY INC. NPI 1952555609


NPI Information

NPI: 1952555609
Provider Name: ACTIVE HEALTH PHYSICAL THERAPY, INC.

Doing Business As: ACTIVE HEALTH PHYSICAL THERAPY

Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
10585 SANTA MONICA BLVD
SUITE 100
LOS ANGELES, CA
ZIP 90025
Phone: (310) 994-4663
Get Directions

ACTIVE HEALTH PHYSICAL THERAPY, INC. is an orthopedic physical therapist in Los Angeles, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. ACTIVE HEALTH PHYSICAL THERAPY, INC. NPI is 1952555609. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Active Health Physical Therapy.

The provider's business location address is:

10585 SANTA MONICA BLVD
SUITE 100
LOS ANGELES, CA
ZIP 90025-921
Phone: (310) 994-4663
Fax: (310) 310-3865

The provider's authorized official is Tanya Leigh Macleod .
The authorized official title is President and has the following contact phone number (310) 994-4663.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 2/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251E1200XPhysical TherapistErgonomics32763CALIFORNIANo
22251S0007XPhysical TherapistSports32763CALIFORNIANo
32251X0800XPhysical TherapistOrthopedic32763CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132763OTHERCALIFORNIAPHYSICAL THERAPY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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