Organization Active NPI

Ramsin L Walters

Doing business as Ergogenic Physical Therapy

  • Specialist
  • Woodland Hills, CA
National Provider Identifier
1396985024
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT27248 Issued in CA
Legal business name
RAMSIN L WALTERS
Doing business as
Ergogenic Physical Therapy
Practice address
22311 Ventura Blvd
Suite 106
Woodland Hills, CA 91364-1522
Phone
(818) 888-8300
Fax
(818) 888-8390
NPI assigned
Feb 20, 2009
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Ramsin Lee Walters, MPTNPI 1457430167
Title
Physical Therapist
Phone
(818) 634-7208

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
Specialist 174400000X PT27248 CA Primary

Addresses

Primary practice location

22311 Ventura Blvd
Suite 106
Woodland Hills, CA 91364-1522

Mailing address

22311 Ventura Blvd
Suite 106
Woodland Hills, CA 91364-1522
Phone (818) 888-8300

Other names 1

  • Ergogenic Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000937 CA Part B Supplier - Clinic/Group Practice 6406909035 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

22311 Ventura Blvd
Ste 106
Woodland Hls, CA 91364
Phone (818) 634-7208

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1396985024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22311 VENTURA BLVD",
            "address_2": "SUITE 106",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641522",
            "telephone_number": "818-888-8300",
            "fax_number": "818-888-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22311 VENTURA BLVD",
            "address_2": "SUITE 106",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641522",
            "telephone_number": "818-888-8300",
            "fax_number": "818-888-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMSIN L WALTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "RAMSIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-634-7208",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT27248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ergogenic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.