Active NPI
Phzio Physical Therapy of California PC
- Physical Therapist
- Culver City, CA
National Provider Identifier
1124672001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHZIO PHYSICAL THERAPY OF CALIFORNIA PC
- Practice address
- 11825 Major St
Culver City, CA 90230-6356 - Phone
- (310) 722-6574
- NPI assigned
- Jul 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darwin Fogt, MPT
- Title
- President
- Phone
- (310) 722-6574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
11825 Major St
Culver City, CA 90230-6356
Mailing address
11825 Major St
Culver City, CA 90230-6356
Phone (310) 722-6574
National Provider Directory
National Provider DirectoryLocations
11825 Major St
Los Angeles, CA 90230
Phone (310) 663-3266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564358400000",
"number": "1124672001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11825 MAJOR ST",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306356",
"telephone_number": "310-722-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11825 MAJOR ST",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306356",
"telephone_number": "310-722-6574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHZIO PHYSICAL THERAPY OF CALIFORNIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A",
"authorized_official_last_name": "FOGT",
"authorized_official_first_name": "DARWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-722-6574",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.