Active NPI
Pure Wellness, Inc.
- Physical Therapist
- Van Nuys, CA
National Provider Identifier
1558022004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PURE WELLNESS, INC.
- Practice address
- 14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272 - Phone
- (818) 781-7097
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi-Ann Foster, PT, DPT
- Title
- President/ Physical Therapist
- Phone
- (213) 713-3465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272
Mailing address
5555 W 6TH St # 2-105
Los Angeles, CA 90036-3361
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.allscripts.com |
National Provider Directory
National Provider DirectoryLocations
5555 W 6th St
Ste 2105
Los Angeles, CA 90036
5555 W 6th St
#2105
Los Angeles, CA 90036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1558022004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 W 6TH ST # 2-105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14600 SHERMAN WAY STE 300",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052272",
"telephone_number": "818-781-7097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "JODI-ANN",
"authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPIST",
"authorized_official_telephone_number": "213-713-3465",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.allscripts.com",
"affiliation": "N",
"address_1": "14600 Sherman Way Ste 300",
"city": "Van Nuys",
"state": "CA",
"country_code": "US",
"postal_code": "914052272",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.