Active NPI
Independent Physical Therapy, Inc.
- Physical Therapist
- Culver City, CA
National Provider Identifier
1003277880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INDEPENDENT PHYSICAL THERAPY, INC.
- Practice address
- 11056 Washington Blvd
Suite C
Culver City, CA 90232-3923 - Phone
- (310) 539-8800
- Fax
- (310) 698-5410
- NPI assigned
- Mar 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Cipolla
- Title
- Director
- Phone
- (310) 539-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
11056 Washington Blvd
Suite C
Culver City, CA 90232-3923
Mailing address
3244 Sepulveda Blvd
Torrance, CA 90505-2719
Phone (310) 539-8800
National Provider Directory
National Provider Directory- Tax ID family
- Independent Physical Therapy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1841608593
Locations
11056 Washington Blvd
Ste C
Culver City, CA 90232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1003277880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052719",
"telephone_number": "310-539-8800",
"fax_number": "310-698-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11056 WASHINGTON BLVD",
"address_2": "SUITE C",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323923",
"telephone_number": "310-539-8800",
"fax_number": "310-698-5410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-08",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "CIPOLLA",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-539-8800"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.