NPIMap

Organization Active NPI

Elite Physical Therapy, LLC

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1164730628
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30080 Issued in CA
Legal business name
ELITE PHYSICAL THERAPY, LLC
Practice address
13633 Victory Blvd
Van Nuys, CA 91401-1735
Phone
(818) 395-7049
Fax
(818) 368-1412
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Nektar Hope Toukhladjian, MPTNPI 1316983885
Title
Director
Phone
(818) 395-7049

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: 193200000X MULTI-SPECIALTY GROUP 225100000X PT30080 CA Primary

Addresses

Primary practice location

13633 Victory Blvd
Van Nuys, CA 91401-1735

Mailing address

PO Box 34194
Granada Hills, CA 91394-4194
Phone (818) 395-7049

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1164730628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34194",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913944194",
            "telephone_number": "818-395-7049",
            "fax_number": "818-368-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13633 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011735",
            "telephone_number": "818-395-7049",
            "fax_number": "818-368-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "TOUKHLADJIAN",
        "authorized_official_first_name": "NEKTAR",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-395-7049",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.