Active NPI
Leslie Tony Styadi, PT
- Physical Therapist
- Ventura, CA
National Provider Identifier
1275780488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21153
- Practice address
- 799 Turquoise Ave
Ventura, CA 93004-4045 - Phone
- (805) 338-6912
- Fax
- (805) 659-2676
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21153 | CA | Primary |
Addresses
Primary practice location
799 Turquoise Ave
Ventura, CA 93004-4045
Mailing address
799 Turquoise Ave
Ventura, CA 93004-4045
Phone (805) 338-6912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21153 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Tarzana, CA
- NPI 1184605586
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1275780488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 TURQUOISE AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930044045",
"telephone_number": "805-338-6912",
"fax_number": "805-659-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 TURQUOISE AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930044045",
"telephone_number": "805-338-6912",
"fax_number": "805-659-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYADI",
"first_name": "LESLIE",
"middle_name": "TONY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "21153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.