David Russak Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DAVID RUSSAK PHYSICAL THERAPY INC

Practice address

14748 Hartsook St
Sherman Oaks, CA 91403-1407

Phone

(818) 309-3630

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By 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

David RussakNPI 1508255498

Title

Owner

Phone

(818) 309-3630

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.

• David Russak

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1508255498
  Authorized official Same address or phone

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1295452837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 KANAN RD # 114",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14748 HARTSOOK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031407",
            "telephone_number": "818-309-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID RUSSAK PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "RUSSAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-309-3630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Tyler Daulo
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• David Heskiaoff MD a Professional Corp
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• Richard D David, M.D.
• Terri David, MS.MFT.
• Audrey Davidheiser, PHD
• Arash Davidi, LMFT

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.