Organization Active NPI

Westlake Sports Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1023153236
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
WESTLAKE SPORTS PHYSICAL THERAPY INC
Practice address
4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837
Phone
(805) 371-9116
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Brian Ranieri, DPTNPI 1780239574
Title
Owner
Phone
(805) 371-9116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837

Mailing address

4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837
Phone (805) 371-9116

Other identifiers 1

IdentifierTypeStateIssuer
296942OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000231 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153368303 Receives reassigned benefits from 5 practitioners
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

880 Hampshire Rd
Ste Q
Westlake Village, CA 91361
Phone (805) 371-9116

733 Lakefield Rd
Westlake Village, CA 91361

4165 E Thousand Oaks Blvd
Westlake Village, CA 91362

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1023153236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623837",
            "telephone_number": "805-371-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623837",
            "telephone_number": "805-371-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE SPORTS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "RANIERI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-371-9116",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "296942",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.