Organization Active NPI

Willpower Wellness and Physical Therapy

  • Physical Therapy Clinic/Center
  • Winnetka, CA
National Provider Identifier
1104518513
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WILLPOWER WELLNESS AND PHYSICAL THERAPY
Practice address
7355 Fullbright Ave
Winnetka, CA 91306-3115
Phone
(818) 825-9082
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Willy Quach, DPTNPI 1609349745
Title
PT
Phone
(310) 426-8525

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7355 Fullbright Ave
Winnetka, CA 91306-3115

Mailing address

7355 Fullbright Ave
Winnetka, CA 91306-3115
Phone (818) 825-9082

National Provider Directory

National Provider Directory

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": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1104518513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 FULLBRIGHT AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063115",
            "telephone_number": "818-825-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 FULLBRIGHT AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063115",
            "telephone_number": "818-825-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLPOWER WELLNESS AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "WILLY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "310-426-8525",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.