Organization Active NPI

Stay Ready Physical Therapy

  • Sports Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1023215530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT28757 Issued in CA
Legal business name
STAY READY PHYSICAL THERAPY
Practice address
11819 Wilshire Blvd
Suite 201
Los Angeles, CA 90025-6619
Phone
(323) 936-7525
Fax
(323) 936-7572
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aman AbyeNPI 1134224397
Title
Owner
Phone
(323) 936-7525

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
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X PT28757 CA Primary

Addresses

Primary practice location

11819 Wilshire Blvd
Suite 201
Los Angeles, CA 90025-6619

Mailing address

11819 Wilshire Blvd
Suite 201
Los Angeles, CA 90025-6619
Phone (323) 936-7525

Other identifiers 1

IdentifierTypeStateIssuer
PT28757OtherCAPHYSICAL THERAPY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Stay Ready Inc2 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

11819 Wilshire Blvd
Ste 201
Los Angeles, CA 90025
Phone (323) 936-7525

Practitioners & affiliated clinicians

Practitioners 2

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023215530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256619",
            "telephone_number": "323-936-7525",
            "fax_number": "323-936-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256619",
            "telephone_number": "323-936-7525",
            "fax_number": "323-936-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY READY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABYE",
        "authorized_official_first_name": "AMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-936-7525"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT28757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT28757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.