Organization Active NPI

Plyokinetics Therapy Inc - a Physical Therapy Corporation

  • Physical Therapist
  • Sylmar, CA
National Provider Identifier
1225689623
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PLYOKINETICS THERAPY INC - A PHYSICAL THERAPY CORPORATION
Practice address
13178 Alta Vista Way
Sylmar, CA 91342-3461
Phone
(818) 731-3293
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Angelito De Leon, PTNPI 1568828986
Title
Owner
Phone
(818) 322-8951

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

13178 Alta Vista Way
Sylmar, CA 91342-3461

Mailing address

25876 The Old Rd # 208
Valencia, CA 91381-1711
Phone (818) 731-3293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202001487 CA Part B Supplier - Clinic/Group Practice 9638580343 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Hills, CA

National Provider Directory

National Provider Directory

Locations

25876 The Old Rd
Valencia, CA 91381
Phone (818) 647-2988

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1225689623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25876 THE OLD RD # 208",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913811711",
            "telephone_number": "818-731-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13178 ALTA VISTA WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423461",
            "telephone_number": "818-731-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYOKINETICS THERAPY INC - A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-322-8951",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.