NPIMap

Organization Active NPI

Positive Physical Therapy and Fitness Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1023431046
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 39223 Issued in CA
Legal business name
POSITIVE PHYSICAL THERAPY AND FITNESS INC
Practice address
11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166
Phone
(310) 770-7586
Fax
(310) 826-4517
NPI assigned
Jan 27, 2014
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Dr. Jason Whitman, PTNPI 1720335797
Title
Owner
Phone
(323) 719-1758

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
Physical Therapy Clinic/Center 261QP2000X PT 39223 CA Primary

Addresses

Primary practice location

11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166

Mailing address

11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166
Phone (310) 770-7586

Other practice location 1

1919 Broadway
Santa Monica, CA 90404-2811
Phone (323) 719-1758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140512001253 CA Part B Supplier - Clinic/Group Practice 7315170644 Receives reassigned benefits from 9 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

11900 W Olympic Blvd
Ste 101
Los Angeles, CA 90064
Phone (310) 770-7586

12203 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 770-7586

12207 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 770-7586

1919 Broadway
Santa Monica, CA 90404
Phone (323) 719-1758

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1023431046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641166",
            "telephone_number": "310-770-7586",
            "fax_number": "310-824-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641166",
            "telephone_number": "310-770-7586",
            "fax_number": "310-826-4517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Broadway",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042811",
            "country_code": "US",
            "telephone_number": "323-719-1758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE PHYSICAL THERAPY AND FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-719-1758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 39223",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 9, 2026; 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.