Organization Active NPI

Resolution Physical Therapy, Inc.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1497704647
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26983 Issued in CA
Legal business name
RESOLUTION PHYSICAL THERAPY, INC.
Practice address
11677 San Vicente Blvd
Suite # 207
Los Angeles, CA 90049-5123
Phone
(310) 826-3110
Fax
(310) 826-5990
NPI assigned
May 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Mrs. Rachel Kilpatrick, MPT
Title
Owner
Phone
(310) 826-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT26983 CA Primary

Addresses

Primary practice location

11677 San Vicente Blvd
Suite # 207
Los Angeles, CA 90049-5123

Mailing address

11677 San Vicente Blvd
Suite # 207
Los Angeles, CA 90049-5123
Phone (310) 826-3110

National Provider Directory

National Provider Directory

Locations

11677 San Vicente Blvd
Ste 207
Los Angeles, CA 90049
Phone (310) 743-6649

NPI Registry JSON

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1497704647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11677 SAN VICENTE BLVD",
            "address_2": "SUITE # 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495123",
            "telephone_number": "310-826-3110",
            "fax_number": "310-826-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11677 SAN VICENTE BLVD",
            "address_2": "SUITE # 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495123",
            "telephone_number": "310-826-3110",
            "fax_number": "310-826-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-826-3110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 22, 2010; 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.