Proactive Pediatric Physical Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

PROACTIVE PEDIATRIC PHYSICAL THERAPY

Practice address

18401 Burbank Blvd Ste 214
Tarzana, CA 91356-6600

Phone

(818) 518-6622

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Daniella Brown, MPTNPI 1841368743

Title

Owner Physical Therapist

Phone

(818) 518-6622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniella Brown, MPT

  • Specialist
  • Tarzana, CA
  • NPI 1841368743

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1477313450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD STE 214",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566600",
            "telephone_number": "818-518-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD STE 214",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566600",
            "telephone_number": "818-518-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-518-6622",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey William Priess
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• Jonathan Andrew Prince, M.D.
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• Procare Medical Group Inc
• Professional Solutions Home Health, Inc.
• Professional Solutions Hospice Care, Inc
• Progressions TLC LLC
• Progressive Physical Therapy Inc

• Pediatric Physical Therapist in Tarzana, CA
• Providers in Tarzana, 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 Mar 19, 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.