NPIMap

Organization Active NPI

Lori Rubenstein Physical Therapy, Inc

Doing business as Mosaic Physical Therapy

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1447321666
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 14694 Issued in CA
Legal business name
LORI RUBENSTEIN PHYSICAL THERAPY, INC
Doing business as
Mosaic Physical Therapy
Practice address
11835 W Olympic Blvd
Suite 135E
Los Angeles, CA 90064-5001
Phone
(310) 401-6410
NPI assigned
Nov 10, 2006
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Lori R Fazzio, PTNPI 1427129642
Title
Director
Phone
(310) 401-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 14694 CA Primary

Addresses

Primary practice location

11835 W Olympic Blvd
Suite 135E
Los Angeles, CA 90064-5001

Mailing address

PO Box 641428
Los Angeles, CA 90064-6428
Phone (310) 401-6410

Other identifiers 1

IdentifierTypeStateIssuer
PT14694OtherCAPT LICENSE

Other names 1

  • Mosaic Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1447321666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641428",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646428",
            "telephone_number": "310-401-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD",
            "address_2": "SUITE 135E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645001",
            "telephone_number": "310-401-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI RUBENSTEIN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "FAZZIO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-401-6410",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 14694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT14694",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2016; 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.