Ethos Sports and Spine Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ETHOS SPORTS AND SPINE INC

Practice address

5741 Las Virgenes Rd Ste B
Calabasas, CA 91302-1273

Phone

(818) 571-4278

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Arik Khachidourian

Title

Physical Therapist

Phone

(818) 571-4278

Specialties & licenses 1

Addresses

Other names 1

• Ethos Sport and Spine Former legal business name

Locations

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1477260420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 LAS VIRGENES RD STE B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021273",
            "telephone_number": "818-571-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 LAS VIRGENES RD STE B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021273",
            "telephone_number": "818-571-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS SPORTS AND SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "KHACHIDOURIAN",
        "authorized_official_first_name": "ARIK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-571-4278"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Sport and Spine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.