Active NPI
Fitness Philosophy, LLC
- Physical Therapist
- Woodland Hills, CA
National Provider Identifier
1043230527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3035
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ58760Z | Other | CA | BLUE SHIELD PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- West Hollywood, CA
- NPI 1346634490
-
- Physical Therapist
- Woodland Hills, CA
- NPI 1407879265
-
- Physical Therapist
- La Crescenta, CA
- NPI 1114397627
-
- Physical Therapist
- Troy, MI
- NPI 1881194421
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.