Organization Active NPI

PT Stop Physical Therapy & Wellness, Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1295275956
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
37956 Issued in CA
Legal business name
PT STOP PHYSICAL THERAPY & WELLNESS, INC
Practice address
3407 W 6TH St Ste 514
Los Angeles, CA 90020-2552
Phone
(888) 444-0091
Fax
(888) 999-0071
NPI assigned
Feb 28, 2017
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Mayami Oyanagi, PTNPI 1811306624
Title
Owner
Phone
(617) 869-2285

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapy Clinic/Center 261QP2000X 37956 CA Primary

Addresses

Primary practice location

3407 W 6TH St Ste 514
Los Angeles, CA 90020-2552

Mailing address

6237 Morley Ave
Los Angeles, CA 90056-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180918002298 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577814383 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3407 W 6th St
Ste 514
Los Angeles, CA 90020
Phone (213) 915-0300

Practitioners & affiliated clinicians

Practitioners 2

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": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1295275956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 MORLEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W 6TH ST STE 514",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202552",
            "telephone_number": "888-444-0091",
            "fax_number": "888-999-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT STOP PHYSICAL THERAPY & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "OYANAGI",
        "authorized_official_first_name": "MAYAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-869-2285",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "37956",
            "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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.