Ephraim Dolz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52617 Issued in CA

Practice address

1464 Madera Rd Ste I-1
Simi Valley, CA 93065-3077

Phone

(805) 306-1622

Fax

(805) 306-1611

NPI assigned

Aug 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athletic Physical Therapy Inc

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1114042165
  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1508549650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 AVENUE SAN LUIS APT 177",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641021",
            "telephone_number": "818-746-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD STE I-1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-306-1622",
            "fax_number": "805-306-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLZ",
        "first_name": "EPHRAIM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Health Provider Physical Therapy Inc
• DM Sinaloa
• Dmitry Aminov Dental Corp
• Yale I Doberne, MD
• Marie Doettrel
• Monique Dominguez
• Leigh Michael Donart, LPT
• Dong Le, OD, Inc.
• Martha Mantilla Donovan, M.D.
• Anna Michelle Dorch, RN, BSN, PHN

• Physical Therapy Assistant in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.