Phzio New Jersey, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHZIO NEW JERSEY, LLC

Practice address

2019 Clyde Ave
Los Angeles, CA 90016-1012

Phone

(310) 722-6574

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Darwin Fogt, MPT

Title

President

Phone

(310) 722-6574

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1225594815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 CLYDE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161012",
            "telephone_number": "310-722-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 CLYDE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161012",
            "telephone_number": "310-722-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHZIO NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "FOGT",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-722-6574",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Physiotherapy Specialists Inc.
• Joan Pi Anfruns, DMD
• Edmond H. Pi, M.D.
• Jason Pia, MD, MPH, MHS
• John C Piacentini
• Sabreena Piamonte

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.