Independent Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6837 Issued in CA

Legal business name

INDEPENDENT PHYSICAL THERAPY INC

Practice address

5601 W Slauson Ave Ste 125
Culver City, CA 90230-6588

Phone

(310) 539-8800

Fax

(310) 698-5410

NPI assigned

Nov 7, 2012

Last updated

Jul 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas J Cipolla, PTNPI 1003825019

Title

Director

Phone

(310) 539-8800

Specialties & licenses 1

Addresses

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.

• Thomas James Cipolla, PT

  • Physical Therapist
  • Torrance, CA
  • NPI 1003825019
  Authorized official Same address or phone

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1275887622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902740235",
            "telephone_number": "310-539-8800",
            "fax_number": "310-698-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 125",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306588",
            "telephone_number": "310-539-8800",
            "fax_number": "310-698-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "CIPOLLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-539-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "6837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.