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ELITE ORTHOSPORT PERFORMANCE PHYSICAL THERAPY NPI 1942953724


NPI Information

NPI: 1942953724
Provider Name: ELITE ORTHOSPORT PERFORMANCE PHYSICAL THERAPY

Other Name: ELITE ORTHOSPORT PERFORMANCE PHYSICAL THERAPY

Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
12121 WILSHIRE BLVD STE 100
LOS ANGELES, CA
ZIP 90025
Phone: (310) 477-7774
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ELITE ORTHOSPORT PERFORMANCE PHYSICAL THERAPY is a sports 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 Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. ELITE ORTHOSPORT PERFORMANCE PHYSICAL THERAPY NPI is 1942953724. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Elite Orthosport Performance Physical Therapy.

The provider's business location address is:

12121 WILSHIRE BLVD STE 100
LOS ANGELES, CA
ZIP 90025-221
Phone: (310) 477-7774

The provider's authorized official is Heather Milligan .
The authorized official title is Owner/president and has the following contact phone number (310) 477-7774.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/17/2022.


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
12251S0007XPhysical TherapistSportsYes

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: 4/28/2024

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