Organization Active NPI

Villani Physical Therapy Services

  • Geriatric Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1154096014
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
VILLANI PHYSICAL THERAPY SERVICES
Practice address
630 Masselin Ave Apt 107
Los Angeles, CA 90036-5759
Phone
(323) 715-2764
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Maria Augusta Artencio Villani, PHYSICAL THERAPIST
Title
Ceo
Phone
(323) 715-2764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251G0304X Primary

Addresses

Primary practice location

630 Masselin Ave Apt 107
Los Angeles, CA 90036-5759

Mailing address

630 Masselin Ave Apt 107
Los Angeles, CA 90036-5759
Phone (323) 715-2764

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1154096014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MASSELIN AVE APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365759",
            "telephone_number": "323-715-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MASSELIN AVE APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365759",
            "telephone_number": "323-715-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLANI PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "ARTENCIO VILLANI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "AUGUSTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-715-2764",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "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 Aug 12, 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.