NPIMap

Organization Active NPI

Exos - Athletes' Performance Los Angeles LLC

  • Physical Therapist
  • Carson, CA
National Provider Identifier
1083776009
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS - ATHLETES' PERFORMANCE LOS ANGELES LLC
Practice address
18400 Avalon Blvd
Suite 800
Carson, CA 90746-2172
Phone
(310) 630-2290
Fax
(310) 630-2292
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Sheri Walters, PT
Title
Director, Physical Therapy
Phone
(214) 618-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

18400 Avalon Blvd
Suite 800
Carson, CA 90746-2172

Mailing address

18400 Avalon Blvd
Suite 800
Carson, CA 90746-2172
Phone (310) 630-2290

National Provider Directory

National Provider Directory

Locations

18400 Avalon Blvd
Ste 800
Carson, CA 90746
Phone (310) 630-2290

Practitioners & affiliated clinicians

Practitioners 3

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1083776009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 AVALON BLVD",
            "address_2": "SUITE 800",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462172",
            "telephone_number": "310-630-2290",
            "fax_number": "310-630-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 AVALON BLVD",
            "address_2": "SUITE 800",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462172",
            "telephone_number": "310-630-2290",
            "fax_number": "310-630-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS - ATHLETES' PERFORMANCE LOS ANGELES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICAL THERAPY",
        "authorized_official_telephone_number": "214-618-3246",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.