Shiju Abraham, PT
Individual provider Active NPI Physical Therapist · West Hills, CA
NPI 1003040338 · NPPES record last updated May 14, 2009
Key facts
- NPI
- 1003040338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 34719 (CA)
- Practice address
- 23101 Sherman PL Ste 150
West Hills, CA 91307-2005 - Phone
- (818) 348-0580
- NPI assigned
- May 14, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34719 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Dynamics & Sports Medicine Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34719 | CA | Yes |
Addresses
Primary practice location
23101 Sherman PL Ste 150
West Hills, CA 91307-2005
Mailing address
23101 Sherman PL Ste 150
West Hills, CA 91307-2005
Phone (818) 348-0580
Other providers in West Hills, CA
- ABA Spot LLC
- Sam Abbassi
- Payum Abdarbashi
- Katherine Abdelkerim
- Rachel E Abergel
- Ilona Abramova
- Judith Abronson
- Abundant Wellness Residence
- Accentcare UCLA Health, LLC
- Stuart E. Ackerman
All providers in West Hills, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.