Organization Active NPI

Savina Kollmorgen & Maria Katz Physical Therapist Prof Corp

Doing business as Bright Star Physical Therapy

  • Physical Therapist
  • Tarzana, CA
National Provider Identifier
1184771214
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22668 Issued in CA
Legal business name
SAVINA KOLLMORGEN & MARIA KATZ PHYSICAL THERAPIST PROF CORP
Doing business as
Bright Star Physical Therapy
Practice address
5525 Etiwanda Ave
Suite 110
Tarzana, CA 91356-3647
Phone
(818) 343-3900
Fax
(818) 342-8545
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mrs. Savina E Kollmorgen, P.T.NPI 1720135353
Title
Owner/PT
Phone
(818) 343-3900

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 22668 CA Primary

Addresses

Primary practice location

5525 Etiwanda Ave
Suite 110
Tarzana, CA 91356-3647

Mailing address

5525 Etiwanda Ave
Suite 110
Tarzana, CA 91356-3647
Phone (818) 343-3900

Other names 1

  • Bright Star Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000174 CA Part B Supplier - Clinic/Group Practice 6406918424 Receives reassigned benefits from 3 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

22937 Soledad Canyon Rd
Saugus, CA 91350
Phone (661) 259-6010

5223 Laurel Canyon Blvd
Valley Vlg, CA 91607
Phone (818) 505-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1184771214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 110",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-343-3900",
            "fax_number": "818-342-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 110",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-343-3900",
            "fax_number": "818-342-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVINA KOLLMORGEN & MARIA KATZ PHYSICAL THERAPIST PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "KOLLMORGEN",
        "authorized_official_first_name": "SAVINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "818-343-3900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Star Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.