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CUSTOM P.T. A PHYSICAL THERAPY CORP NPI 1639107626


NPI Information

NPI: 1639107626
Provider Name: CUSTOM P.T., A PHYSICAL THERAPY CORP

Doing Business As: CUSTOM PHYSICAL THERAPY

Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
325 ROLLING OAKS DRIVE
SUITE 210
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 446-3141
Get Directions

CUSTOM P.T., A PHYSICAL THERAPY CORP is an orthopedic physical therapist in Thousand Oaks, 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. CUSTOM P.T., A PHYSICAL THERAPY CORP NPI is 1639107626. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Custom Physical Therapy.

The provider's business location address is:

325 ROLLING OAKS DRIVE
SUITE 210
THOUSAND OAKS, CA
ZIP 91361-088
Phone: (805) 446-3141
Fax: (805) 446-3140

The provider's authorized official is Linda Paolone .
The authorized official title is Operations Manager and has the following contact phone number (805) 446-3141.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 11/7/2014.


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
12251X0800XPhysical TherapistOrthopedicPT20094CALIFORNIAYes

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
1W19073MEDICARE PINCALIFORNIA

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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