Organization Active NPI

PT and Restorative Wellness

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1417653577
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 28, 2023

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1306425822OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.