Organization Active NPI

Ur Therapist

  • Physical Therapy Clinic/Center
  • Granada Hills, CA
National Provider Identifier
1043849029
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UR THERAPIST
Practice address
17031 Chatsworth St
Granada Hills, CA 91344-5883
Phone
(818) 894-8974
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Victor Gajendran
Title
Ceo
Phone
(310) 339-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17031 Chatsworth St
Granada Hills, CA 91344-5883

Mailing address

407 Avenida de Jose
Redondo Beach, CA 90277-6611
Phone (310) 497-8324

National Provider Directory

National Provider Directory

Locations

17031 Chatsworth St
Granada Hills, CA 91344
Phone (818) 894-8974

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1043849029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENIDA DE JOSE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776611",
            "telephone_number": "310-497-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17031 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445883",
            "telephone_number": "818-894-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "GAJENDRAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-339-0450"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.