Organization Active NPI

Bdi Physical Therapy, Inc.

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1073919346
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BDI PHYSICAL THERAPY, INC.
Practice address
23067 Ventura Blvd
Suite a
Woodland Hills, CA 91364-1150
Phone
(818) 223-9985
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Mr. Jack M. Shano, P.T.
Title
President
Phone
(818) 223-9985

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • THE BALANCE DISORDERS INSTITUTE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1073919346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23067 VENTURA BLVD",
            "address_2": "SUITE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23067 VENTURA BLVD",
            "address_2": "SUITE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641150",
            "telephone_number": "818-223-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDI PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "SHANO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-223-9985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE BALANCE DISORDERS INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2014; 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.