Granada Hills Physical Therapy & Rehab, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT28812 Issued in CA

Legal business name

GRANADA HILLS PHYSICAL THERAPY & REHAB, INC.

Practice address

10515 Balboa Blvd
Suite 140
Granada Hills, CA 91344-6343

Phone

(818) 363-3000

Fax

(818) 363-3099

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luis Fernando Rodriguez

Title

Cfo

Phone

(818) 363-3000

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003913286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD",
            "address_2": "SUITE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "818-363-3000",
            "fax_number": "818-363-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD",
            "address_2": "SUITE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "818-363-3000",
            "fax_number": "818-363-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS PHYSICAL THERAPY & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-363-3000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT28812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801991955",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Granada Hills Convalescent Hospital, Inc
• Granada Hills Dental Group
• Granada Hills Detox Center, Inc.
• Granada Hills Home Health Care Inc
• Granada Hills Optometry Center
• Granada Luxury Recovery Inc
• Granada Residence
• Great Hospice Care, Inc
• Greatcare Home Health, Inc
• Caitlin Gregory

• Physical Medicine & Rehabilitation Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.