NPIMap

Organization Active NPI

Aj Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Encino, CA
National Provider Identifier
1518025931
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-27373 Issued in CA
Legal business name
AJ PHYSICAL THERAPY INC
Practice address
16573 Ventura Blvd Ste 8
Encino, CA 91436-2024
Phone
(818) 986-7266
Fax
(818) 287-6783
NPI assigned
Dec 5, 2006
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Barak Kraus, DPTNPI 1689772865
Title
Owner
Phone
(818) 986-7266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X PT-27373 CA Primary

Addresses

Primary practice location

16573 Ventura Blvd Ste 8
Encino, CA 91436-2024

Mailing address

16573 Ventura Blvd Ste 8
Encino, CA 91436-2024
Phone (818) 986-7266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000490 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587688718 Receives reassigned benefits from 8 practitioners
Practice locations: Calabasas, CA; Encino, CA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1518025931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16573 VENTURA BLVD STE 8",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362024",
            "telephone_number": "818-986-7266",
            "fax_number": "818-287-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16573 VENTURA BLVD STE 8",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362024",
            "telephone_number": "818-986-7266",
            "fax_number": "818-287-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "BARAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-986-7266",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT-27373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.