Organization Active NPI

FGB, Inc.

  • Physical Therapy Clinic/Center
  • Burbank, CA
National Provider Identifier
1295821429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 20035 Issued in CA
Legal business name
FGB, INC.
Practice address
4221 W Kling St
#20
Burbank, CA 91505-3769
Phone
(818) 635-3965
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David F Charlet, P.T.NPI 1043323868
Title
Ceo
Phone
(818) 635-3965

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 20035 CA Primary

Addresses

Primary practice location

4221 W Kling St
#20
Burbank, CA 91505-3769

Mailing address

4221 W Kling St
#20
Burbank, CA 91505-3769
Phone (818) 635-3965

National Provider Directory

National Provider Directory

Locations

18607 Ventura Blvd
Ste 210
Tarzana, CA 91356
Phone (818) 881-2245

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295821429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 W KLING ST",
            "address_2": "#20",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053769",
            "telephone_number": "818-635-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 W KLING ST",
            "address_2": "#20",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053769",
            "telephone_number": "818-635-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FGB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-635-3965",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 20035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.