Organization Active NPI

Ann Bass Physical Therapy

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1215004684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6793 Issued in CA
Legal business name
ANN BASS PHYSICAL THERAPY
Practice address
626 Wilshire Blvd Ste 460
Suite 460
Los Angeles, CA 90017-2917
Phone
(213) 689-1679
Fax
(213) 689-1084
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Bass, PTNPI 1588697460
Title
Owner
Phone
(213) 689-1679

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 PT6793 CA Primary

Addresses

Primary practice location

626 Wilshire Blvd Ste 460
Suite 460
Los Angeles, CA 90017-2917

Mailing address

626 Wilshire Blvd Ste 460
Suite 460
Los Angeles, CA 90017-2917
Phone (213) 689-1679

Other names 1

  • Downtown Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

626 Wilshire Blvd
Ste 460
Los Angeles, CA 90017
Phone (213) 689-1679

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215004684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 WILSHIRE BLVD STE 460",
            "address_2": "SUITE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172917",
            "telephone_number": "213-689-1679",
            "fax_number": "213-689-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WILSHIRE BLVD STE 460",
            "address_2": "SUITE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172917",
            "telephone_number": "213-689-1679",
            "fax_number": "213-689-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN BASS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-689-1679",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.