NPIMap

Organization Active NPI

Restorative Arts Physical Therapy Inc

  • Health Maintenance Organization
  • Studio City, CA
National Provider Identifier
1023014941
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
18517 Issued in CA
Legal business name
RESTORATIVE ARTS PHYSICAL THERAPY INC
Practice address
12930 Ventura Blvd
Ste 226a
Studio City, CA 91604-2200
Phone
(818) 907-0008
Fax
(818) 907-0088
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Emma Collins
Title
Insurance Liaison
Phone
(818) 907-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 18517 CA Primary

Addresses

Primary practice location

12930 Ventura Blvd
Ste 226a
Studio City, CA 91604-2200

Mailing address

12930 Ventura Blvd
Ste 226a
Studio City, CA 91604-2200
Phone (818) 907-0008

Other names 1

  • Core Conditioning Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001099 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092705111 Receives reassigned benefits from 13 practitioners
Practice locations: Burbank, CA; Studio City, CA

National Provider Directory

National Provider Directory
Tax ID family
Core Conditioning2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2520 W Olive Ave
Ste 300
Burbank, CA 91505
Phone (818) 729-9419

2104 W Magnolia Blvd
Burbank, CA 91506
Phone (818) 907-0008

12930 Ventura Blvd
Ste 226A
Studio City, CA 91604
Phone (818) 729-9419

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1023014941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD",
            "address_2": "STE 226A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "818-907-0008",
            "fax_number": "818-907-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD",
            "address_2": "STE 226A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "818-907-0008",
            "fax_number": "818-907-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE ARTS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "INSURANCE LIAISON",
        "authorized_official_telephone_number": "818-907-0008"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "18517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Conditioning",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.