LB Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20435 Issued in CA

Legal business name

LB PHYSICAL THERAPY, INC.

Practice address

1201 Larrabee St
208
Los Angeles, CA 90069-2033

Phone

(310) 652-8888

Fax

(323) 668-0666

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leonid Brenner, P.T.

Title

President

Phone

(323) 668-5535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1245430479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 N VERMONT AVE",
            "address_2": "UNIT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291701",
            "telephone_number": "323-668-5535",
            "fax_number": "323-668-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LARRABEE ST",
            "address_2": "208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900692033",
            "telephone_number": "310-652-8888",
            "fax_number": "323-668-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LB PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-668-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Caberto Lazo Jr., DDS
• Miguel Alberto Lazo Jr.
• Monique Lazo
• LB Physical Therapy Inc
• LB Physical Therapy Inc.
• LC Medical Supply
• Jordan Le Blanc, LCSW
• Renise Le Blanc
• Marie Le Clair
• Le Family Hygiene, Inc., a Dental Hygiene Group

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.