Active NPI
Vert Sports PT LP
- Orthopedic Physical Therapist
- Los Angeles, CA
National Provider Identifier
1053058271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- VERT SPORTS PT LP
- Practice address
- 12400 Santa Monica Blvd Ste B
Los Angeles, CA 90025-2522 - Phone
- (310) 264-8385
- Fax
- (310) 264-9076
- NPI assigned
- May 18, 2022
- 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
- Kevin Theis
- Title
- Owner
- Phone
- (310) 264-8385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
12400 Santa Monica Blvd Ste B
Los Angeles, CA 90025-2522
Mailing address
12400 Santa Monica Blvd Ste B
Los Angeles, CA 90025-2522
Phone (310) 264-8385
National Provider Directory
National Provider DirectoryLocations
12400 Santa Monica Blvd
Ste B
Los Angeles, CA 90025
Phone (310) 264-8385
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Trauma Surgery Physician
- Santa Monica, CA
- NPI 1174733398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1053058271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 SANTA MONICA BLVD STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252522",
"telephone_number": "310-264-8385",
"fax_number": "310-264-9076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 SANTA MONICA BLVD STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252522",
"telephone_number": "310-264-8385",
"fax_number": "310-264-9076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERT SPORTS PT LP",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "THEIS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-264-8385"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"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 May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.