Organization Active NPI

Impromax Physical Therapy, Corp

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1245972090
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IMPROMAX PHYSICAL THERAPY, CORP
Practice address
14435 Sherman Way Ste 102
Van Nuys, CA 91405-6222
Phone
(818) 359-3928
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Marifi Remoquillo, DPTNPI 1043675903
Title
Owner
Phone
(818) 359-3928

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 Primary

Addresses

Primary practice location

14435 Sherman Way Ste 102
Van Nuys, CA 91405-6222

Mailing address

14728 Tupper St
Panorama City, CA 91402-1245
Phone (818) 359-3928

National Provider Directory

National Provider Directory

Locations

14435 Sherman Way
Ste 102
Van Nuys, CA 91405
Phone (818) 359-3928

Practitioners & affiliated clinicians

Practitioners 1

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1245972090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14728 TUPPER ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021245",
            "telephone_number": "818-359-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056222",
            "telephone_number": "818-359-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPROMAX PHYSICAL THERAPY, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "REMOQUILLO",
        "authorized_official_first_name": "MARIFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-359-3928",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.