Organization Active NPI

Fitness Philosophy, LLC

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1043230527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3035 Issued in CA
Legal business name
FITNESS PHILOSOPHY, LLC
Practice address
23067 Ventura Blvd Ste a
Woodland Hills, CA 91364-1150
Phone
(818) 223-9985
Fax
(818) 223-9986
NPI assigned
Jul 20, 2006
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
Jason W. Shano
Title
C.O.O.
Phone
(818) 223-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT3035 CA Primary

Addresses

Primary practice location

23067 Ventura Blvd Ste a
Woodland Hills, CA 91364-1150

Mailing address

23067 Ventura Blvd Ste a
Woodland Hills, CA 91364-1150
Phone (818) 223-9985

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ58760ZOtherCABLUE SHIELD PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303001206 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072409234 Receives reassigned benefits from 2 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

23067 Ventura Blvd
Ste A
Woodland Hills, CA 91364
Phone (818) 223-9985

Practitioners & affiliated clinicians

Practitioners 4

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043230527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23067 VENTURA BLVD STE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641150",
            "telephone_number": "818-223-9985",
            "fax_number": "818-223-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23067 VENTURA BLVD STE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641150",
            "telephone_number": "818-223-9985",
            "fax_number": "818-223-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS PHILOSOPHY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "818-223-9985"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT3035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ58760Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, 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.
  • 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.