Vida Kids Physical Therapy P.C.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

VIDA KIDS PHYSICAL THERAPY P.C.

Practice address

11726 San Vicente Blvd Ste 222
Los Angeles, CA 90049-5045

Phone

(424) 724-0944

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By 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

Cynthia Hughell, PT

Title

Ceo/Physical Therapist

Phone

(424) 422-0446

Specialties & licenses 2

Addresses

Locations

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.

• Samantha Pressman, OT

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1952198731
  NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1417781220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11726 SAN VICENTE BLVD STE 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495045",
            "telephone_number": "424-724-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11726 SAN VICENTE BLVD STE 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495045",
            "telephone_number": "424-724-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA KIDS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "HUGHELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "424-422-0446",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Vidal
• Sandra Elizabeth Vidal
• Sheila Vidal

• Pediatric Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.