Organization Active NPI

Ortho Therapeutics Inc

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1114981925
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19200 Issued in CA
Legal business name
ORTHO THERAPEUTICS INC
Practice address
1000 Newbury Rd
Suite # 120
Thousand Oaks, CA 91320-3613
Phone
(805) 375-0001
Fax
(805) 375-2221
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Carlos G. Brain, RPTNPI 1760543946
Title
Register Physical Therapist
Phone
(805) 375-0001

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 19200 CA Primary

Addresses

Primary practice location

1000 Newbury Rd
Suite # 120
Thousand Oaks, CA 91320-3613

Mailing address

1000 Newbury Rd Ste 120
Thousand Oaks, CA 91320-6437
Phone (805) 375-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103001027 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234191966 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory
Tax ID family
Ortho Therapeutics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

516 Pennsfield Pl
Ste 205
Thousand Oaks, CA 91360
Phone (805) 494-4079

Practitioners & affiliated clinicians

Practitioners 2

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1114981925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206437",
            "telephone_number": "805-375-0001",
            "fax_number": "805-375-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE # 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913203613",
            "telephone_number": "805-375-0001",
            "fax_number": "805-375-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "BRAIN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "REGISTER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-375-0001",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.