Active NPI
Resolution Physical Therapy, Inc.
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1497704647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26983
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.