Active NPI
PT and Restorative Wellness
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1417653577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PT AND RESTORATIVE WELLNESS
- Practice address
- 8635 W 3Rd St Ste 1180
Los Angeles, CA 90048-6114 - Phone
- (310) 734-7181
- Fax
- (310) 460-0099
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen Richards, PT, DPT
- Title
- Managing Physical Therapist
- Phone
- (310) 734-7181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 1180
Los Angeles, CA 90048-6114
Mailing address
8635 W 3Rd St Ste 1180
Los Angeles, CA 90048-6114
Phone (310) 734-7181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306425822 | Other | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
8635 W 3rd St
Ste 1180
West Hollywood, CA 90048
Phone (310) 309-2091
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1023136603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679961600000",
"number": "1417653577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 1180",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486114",
"telephone_number": "310-734-7181",
"fax_number": "310-460-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 1180",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486114",
"telephone_number": "310-734-7181",
"fax_number": "310-460-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PT AND RESTORATIVE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2023-03-28",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "MANAGING PHYSICAL THERAPIST",
"authorized_official_telephone_number": "310-734-7181",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1306425822",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Psychotherapy Center for Healing & Personal Growth Inc.
- Psychotherapy Center for Healing and Personal Growth
- Psychotherapy Works, Inc.
- Psychserves
- PSZ Inc (Access Medical Pharmacy)
- PT N' Play Physical Therapy Inc
- PT RN Care Inc
- PT Stop Physical Therapy & Wellness, Inc
- Ptak Chiropractic Inc
- Jeffrey Elliot Ptak, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.