NPIMap

Organization Active NPI

Holistic Physical Therapy and Wellness, Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1124559083
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25168 Issued in CA
Legal business name
HOLISTIC PHYSICAL THERAPY AND WELLNESS, INC
Practice address
4544 Westlawn Ave
Apt 8
Los Angeles, CA 90066-6465
Phone
(310) 699-9463
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Anne Volaire McArthur, PTNPI 1144275199
Title
Ceo
Phone
(310) 699-9463

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 PT25168 CA Primary

Addresses

Primary practice location

4544 Westlawn Ave
Apt 8
Los Angeles, CA 90066-6465

Mailing address

4544 Westlawn Ave
Apt 8
Los Angeles, CA 90066-6465
Phone (310) 699-9463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170717001475 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608146121 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1124559083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 WESTLAWN AVE",
            "address_2": "APT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666465",
            "telephone_number": "310-699-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 WESTLAWN AVE",
            "address_2": "APT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666465",
            "telephone_number": "310-699-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "VOLAIRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-699-9463",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25168",
            "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 Mar 22, 2017; 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.