Organization Active NPI

Lax Physical Therapy PC

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1528636446
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAX PHYSICAL THERAPY PC
Practice address
9100 S Sepulveda Blvd Ste 104
Los Angeles, CA 90045-4849
Phone
(310) 670-9999
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Matthew Kalman Szkalak, DPTNPI 1073822920
Title
President
Phone
(949) 933-9630

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9100 S Sepulveda Blvd Ste 104
Los Angeles, CA 90045-4849

Mailing address

9100 S Sepulveda Blvd Ste 104
Los Angeles, CA 90045-4849
Phone (310) 670-9999

National Provider Directory

National Provider Directory

Locations

9100 S Sepulveda Blvd
Ste 104
Los Angeles, CA 90045
Phone (310) 670-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1528636446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 S SEPULVEDA BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454849",
            "telephone_number": "310-670-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 S SEPULVEDA BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454849",
            "telephone_number": "310-670-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAX PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "SZKALAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KALMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-933-9630",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jun 16, 2021; 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.