Organization Active NPI

Priority Physical Therapy Inc

  • Specialist
  • Porter Ranch, CA
National Provider Identifier
1093286080
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRIORITY PHYSICAL THERAPY INC
Practice address
11239 Tampa Ave Ste 205
Porter Ranch, CA 91326-3782
Phone
(818) 831-0484
Fax
(818) 832-9389
NPI assigned
Dec 17, 2018
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Jenny Braganza
Title
Credentialing
Phone
(562) 414-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

11239 Tampa Ave Ste 205
Porter Ranch, CA 91326-3782

Mailing address

11239 Tampa Ave Ste 205
Porter Ranch, CA 91326-3782
Phone (818) 831-0484

Other practice location 1

11866 Killimore Ave
Porter Ranch, CA 91326-1957
Phone (818) 402-7011

National Provider Directory

National Provider Directory

Locations

11239 Tampa Ave
Ste 205
Porter Ranch, CA 91326
Phone (818) 402-7011

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1093286080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 TAMPA AVE STE 205",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263782",
            "telephone_number": "818-831-0484",
            "fax_number": "818-832-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 TAMPA AVE STE 205",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263782",
            "telephone_number": "818-831-0484",
            "fax_number": "818-832-9389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11866 Killimore Ave",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913261957",
            "country_code": "US",
            "telephone_number": "818-402-7011",
            "fax_number": "562-403-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIORITY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "BRAGANZA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "562-414-4222"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.