Patrick Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24157 Issued in CA

Legal business name

PATRICK PHYSICAL THERAPY INC

Practice address

14301 Ventura Blvd
Sherman Oaks, CA 91423-2716

Phone

(818) 995-0918

NPI assigned

Jul 15, 2006

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rhett Shannon Patrick, MPTNPI 1609080043

Title

President

Phone

(818) 995-0918

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Rhett Shannan Patrick, MS, MPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1609080043
  Medicare reassignment NPD Authorized official
• Julieann Elkins, MPT

  • Physical Therapy Clinic/Center
  • Sherman Oaks, CA
  • NPI 1194920785
  NPD (past)
• John Ogai, MD

  • Pain Medicine (Anesthesiology) Physician
  • Anaheim, CA
  • NPI 1568563690
  NPD (past)
• Tami Peavy, PT

  • Physical Therapist
  • Alhambra, CA
  • NPI 1871597286
  NPD (past)
• Yuliy Uglov, P.T.

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1235328360
  NPD (past)
• Debra Hagel-Wollman, PT

  • Physical Therapist
  • Henderson, NV
  • NPI 1306058797
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1497771885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232716",
            "telephone_number": "818-995-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232716",
            "telephone_number": "818-995-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "RHETT",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-0918",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID N",
            "identifier": "ZZZ65674Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Pascual, DNP
• Alex Pasha
• Salpi Kristy Pashkam, PHARM.D.
• Priscilla Pasillas
• Krish Patel
• Judith Patterson, MFT
• Sherry Patterson, L.AC.
• Kirstin Arianna Patton
• Susan Paulklein, LMFT
• Mahshid Payan, BA, MA, MS, LMFT

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.