Active NPI
Dream Physical Therapy Inc
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1265626972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DREAM PHYSICAL THERAPY INC
- Practice address
- 903 Crenshaw Blvd
Suite 310
Los Angeles, CA 90019-1964 - Phone
- (323) 931-8866
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Biesheuvel
- Title
- President
- Phone
- (323) 931-8866
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
903 Crenshaw Blvd
Suite 310
Los Angeles, CA 90019-1964
Mailing address
903 Crenshaw Blvd
Suite 310
Los Angeles, CA 90019-1964
National Provider Directory
National Provider DirectoryLocations
903 Crenshaw Blvd
Ste 310
Los Angeles, CA 90019
Phone (323) 931-8866
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Woodland Hills, CA
- NPI 1598842700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1265626972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 CRENSHAW BLVD",
"address_2": "SUITE 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 CRENSHAW BLVD",
"address_2": "SUITE 310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191964",
"telephone_number": "323-931-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "BIESHEUVEL",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-931-8866"
},
"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 Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.