NPIMap

Organization Active NPI

Telesis Physical Therapy, Inc.

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1487657813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16528 Issued in CA
Legal business name
TELESIS PHYSICAL THERAPY, INC.
Practice address
550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360-3969
Phone
(805) 777-1023
Fax
(805) 777-3493
NPI assigned
May 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Alissa Irene Lemon
Title
Cfo
Phone
(805) 777-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16528 CA Primary

Addresses

Primary practice location

550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360-3969

Mailing address

550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360-3969
Phone (805) 777-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107001217 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062300932 Receives reassigned benefits from 6 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

4031 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 777-1023

22622 Vanowen St
West Hills, CA 91307
Phone (818) 464-3333

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487657813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR",
            "address_2": "STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603969",
            "telephone_number": "805-777-1023",
            "fax_number": "805-777-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR",
            "address_2": "STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603969",
            "telephone_number": "805-777-1023",
            "fax_number": "805-777-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELESIS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-777-1023",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.