Kimberly Anne Relos, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52349 Issued in CA

Practice address

3753 E Thousand Oaks Blvd
Westlake Village, CA 91362-3607

Phone

(805) 497-7900

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

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

Locations

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

• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Santa Clarita, CA
  • NPI 1811910797
  NPD
• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1467754796
  NPD (past)

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1518650290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 AVENUE STANFORD STE B135",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551290",
            "telephone_number": "661-250-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 E THOUSAND OAKS BLVD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623607",
            "telephone_number": "805-497-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELOS",
        "first_name": "KIMBERLY ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of California (UCLA Integrated Provider Network)
• Regents of the University of California (UCLA Integrated Provider Network)
• Regents of UC (UCLA Hematology Oncology Westlake Village)
• Cameron Reis, MS, LMFT
• Caroline Reiss, AMFT
• Remedy Medical Supply Inc
• Zulim Melina Renfro
• Anrae Reotutar, DPT, PT
• Mary Resnick, PSYCHOLOGIST
• Retinal Consultants of Southern California Medical Group, Inc

• Physical Therapy Assistant in Westlake Village, CA
• Providers in Westlake Village, 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 May 30, 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.