Organization Active NPI

Pure Wellness, Inc.

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1558022004
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jan 6, 2022

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL www.allscripts.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.