Active NPI
Bonnie M. Cardenas, PT
- Physical Therapist
- Encino, CA
National Provider Identifier
1053384024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6807
- Practice address
- 5359 Balboa Blvd # a
Encino, CA 91316-2803 - Phone
- (818) 506-7821
- Fax
- (818) 506-6722
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6807 | CA | Primary |
Addresses
Primary practice location
5359 Balboa Blvd # a
Encino, CA 91316-2803
Mailing address
4924 Balboa Blvd
# 475
Encino, CA 91316-3402
Phone (818) 506-7821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6807 | CA | MD | Optometrist |
| PT6807 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5359 Balboa Blvd
Ste A
Encino, CA 91316
Phone (818) 506-7821
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1487717153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053384024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4924 BALBOA BLVD",
"address_2": "# 475",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163402",
"telephone_number": "818-506-7821",
"fax_number": "818-506-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5359 BALBOA BLVD # A",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162803",
"telephone_number": "818-506-7821",
"fax_number": "818-506-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "BONNIE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.