Rapha House Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RAPHA HOUSE PHYSICAL THERAPY INC

Practice address

16632 Haynes St
Lake Balboa, CA 91406-5619

Phone

(747) 200-5653

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Marc Sondreal, PTNPI 1437814910

Title

President and Physical Therapist

Phone

(747) 200-5653

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Sondreal, PT

  • Physical Therapist
  • Lake Balboa, CA
  • NPI 1437814910
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1104581685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 VENTURA BLVD STE D-160",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16632 HAYNES ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914065619",
            "telephone_number": "747-200-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA HOUSE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "SONDREAL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "747-200-5653",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Lake Balboa, CA
• Providers in Lake Balboa, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.