Active NPI
Loudijon Genisoir Pascual, PTA
- Physical Therapy Assistant
- Studio City, CA
National Provider Identifier
1215815980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51756
- Practice address
- 12723 Ventura Blvd
Studio City, CA 91604-2430 - Phone
- (800) 976-7544
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51756 | CA | Primary |
Addresses
Primary practice location
12723 Ventura Blvd
Studio City, CA 91604-2430
Mailing address
3590 Beverly Glen Blvd
Sherman Oaks, CA 91423
Phone (818) 635-0387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E3035162 | Other | CA | DRIVER'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1215815980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 BEVERLY GLEN BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91423",
"telephone_number": "818-635-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12723 VENTURA BLVD",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042430",
"telephone_number": "800-976-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUAL",
"first_name": "LOUDIJON",
"middle_name": "GENISOIR",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "E3035162",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.