Organization Active NPI

Clark Consulting and Physical Therapy Inc

Doing business as VIP Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1275041964
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
16701 Issued in CA
Legal business name
CLARK CONSULTING AND PHYSICAL THERAPY INC
Doing business as
VIP Physical Therapy
Practice address
8436 W 3Rd St Ste 602
Los Angeles, CA 90048-4186
Phone
(323) 596-0603
NPI assigned
Jan 16, 2018
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Stephen Clark, PTNPI 1366567307
Title
President
Phone
(323) 596-0603

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 Therapy Clinic/Center 261QP2000X 16701 CA Primary

Addresses

Primary practice location

8436 W 3Rd St Ste 602
Los Angeles, CA 90048-4186

Mailing address

26500 Agoura Rd # 102-135
Calabasas, CA 91302-1952

Other names 1

  • VIP Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

26500 Agoura Rd
#102135
Calabasas, CA 91302

8436 W 3rd St
Ste 602
Los Angeles, CA 90048
Phone (269) 932-2074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1275041964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD # 102-135",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 602",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484186",
            "telephone_number": "323-596-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CONSULTING AND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-596-0603",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "16701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2018; 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.