Active NPI
Clark Consulting and Physical Therapy Inc
Doing business as VIP Physical Therapy
- Physical Therapy Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 16701
- 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, 2018
- 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
- Stephen Clark, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Westlake Village, CA
- NPI 1366567307
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.