NPIMap

Organization Active NPI

Optc Westside, Inc

Doing business as Orthosport Physical Therapy

  • Physical Therapist
  • Culver City, CA
National Provider Identifier
1033188438
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTC WESTSIDE, INC
Doing business as
Orthosport Physical Therapy
Practice address
10190 Culver Blvd
Culver City, CA 90232-2751
Phone
(310) 837-9700
Fax
(310) 837-9701
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Cristina Carmen GaborNPI 1467533935
Title
Owner/ Therapist
Phone
(310) 837-9700

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10190 Culver Blvd
Culver City, CA 90232-2751

Mailing address

10190 Culver Blvd
Culver City, CA 90232-2751
Phone (310) 837-9700

Other names 1

  • ORTHOSPORT PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optc Westside 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1033188438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-837-9700",
            "fax_number": "310-837-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-837-9700",
            "fax_number": "310-837-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTC WESTSIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "GABOR",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "310-837-9700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOSPORT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.