Individual provider Active NPI

Sophia Shlosman

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1104430784
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565
Phone
(310) 246-1050
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565

Mailing address

PO Box 846915
Los Angeles, CA 90084-6915
Phone (310) 246-1050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914002305 CA Practitioner - Physical Therapist in Private Practice 5294153888 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

2335 Vista Way
Oceanside, CA 92054-5663
Phone (760) 547-2666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Positive Physical Therapy and Fitness Inc CurrentSince Nov 22, 2021 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients
Back2 Health Physical Therapy Inc Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients

Locations

930 W Alameda Ave
Burbank, CA 91506
Phone (818) 588-3880

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

1335 N La Brea Ave
Ste 3
Los Angeles, CA 90028
Phone (213) 297-4395

12207 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 770-7586

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

2335 Vista Way
Oceanside, CA 92054
Phone (760) 547-2666

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1104430784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900846915",
            "telephone_number": "310-246-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N LA BREA AVE STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287565",
            "telephone_number": "310-246-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLOSMAN",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.