Organization Active NPI

S2 Physical Therapy & Rehab

  • Physical Therapist
  • Encino, CA
National Provider Identifier
1184512600
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
S2 PHYSICAL THERAPY & REHAB
Practice address
17000 Ventura Blvd Ste 103
Encino, CA 91316-4187
Phone
(818) 995-4488
Fax
(818) 995-3140
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Sepehr Koliny, DPTNPI 1386531788
Title
President
Phone
(818) 995-4488

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 Primary

Addresses

Primary practice location

17000 Ventura Blvd Ste 103
Encino, CA 91316-4187

Mailing address

17000 Ventura Blvd Ste 103
Encino, CA 91316-4187
Phone (818) 995-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027003626 CA Part B Supplier - Clinic/Group Practice 9335638733 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

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": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1184512600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164187",
            "telephone_number": "818-995-4488",
            "fax_number": "818-995-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164187",
            "telephone_number": "818-995-4488",
            "fax_number": "818-995-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S2 PHYSICAL THERAPY & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KOLINY",
        "authorized_official_first_name": "SEPEHR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-4488",
        "authorized_official_credential": "DPT"
    },
    "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 Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.