Organization Active NPI

Waksman Physical Therapy Inc.

  • Specialist
  • Valley Village, CA
National Provider Identifier
1093872293
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT-25978 Issued in CA
Legal business name
WAKSMAN PHYSICAL THERAPY INC.
Practice address
12030 Riverside Dr
Valley Village, CA 91607-3749
Phone
(818) 985-2559
Fax
(818) 985-4459
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Milana Waksman, R.P.T.NPI 1679620827
Title
Physical Therapist
Phone
(818) 985-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT-25978 CA Primary

Addresses

Primary practice location

12030 Riverside Dr
Valley Village, CA 91607-3749

Mailing address

12030 Riverside Dr
Valley Village, CA 91607-3749
Phone (818) 985-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028001090 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183686454 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Village, CA

National Provider Directory

National Provider Directory

Locations

12526 Riverside Dr
Valley Vlg, CA 91607
Phone (818) 392-8644

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1093872293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073749",
            "telephone_number": "818-985-2559",
            "fax_number": "818-985-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073749",
            "telephone_number": "818-985-2559",
            "fax_number": "818-985-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKSMAN PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "WAKSMAN",
        "authorized_official_first_name": "MILANA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-985-2559",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT-25978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.