Sports Motion Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10026 Issued in CA

Legal business name

SPORTS MOTION PHYSICAL THERAPY

Practice address

24007 Ventura Blvd
Suite 100
Calabasas, CA 91302-1458

Phone

(818) 224-2090

Fax

(818) 224-3255

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Stanley Dennies, PTNPI 1649332941

Title

Ceo

Phone

(818) 224-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Stanley Dennies, PT

  • Physical Therapist
  • Calabasas, CA
  • NPI 1649332941
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093875098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021458",
            "telephone_number": "818-224-2090",
            "fax_number": "818-224-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021458",
            "telephone_number": "818-224-2090",
            "fax_number": "818-224-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MOTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-224-2090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.