NPIMap

Organization Active NPI

Westlake Physical Therapy, Inc.

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1558498337
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WESTLAKE PHYSICAL THERAPY, INC.
Practice address
110 Jensen CT
Suite 2C
Thousand Oaks, CA 91360-7483
Phone
(805) 413-1070
Fax
(805) 413-1076
NPI assigned
Feb 27, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTLAKE PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Anthony Carmen Vasquez, P.T.NPI 1003835703
Title
P.T., Owner, Secretary & Treasurer
Phone
(805) 777-7370

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

110 Jensen CT
Suite 2C
Thousand Oaks, CA 91360-7483

Mailing address

1220 La Venta Dr
Suite 102
Westlake Village, CA 91361-3703
Phone (805) 777-7370

Other identifiers 1

IdentifierTypeStateIssuer
1043236078OtherCAPRIMARY GROUP NPI #

National Provider Directory

National Provider Directory
Tax ID family
Westlake Physical Therapy I2 organizations share this tax ID, including this one
Part of
Westlake Physical Therapy I

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1220 La Venta Dr
Ste 102
Westlake Vlg, CA 91361
Phone (805) 777-7370

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1558498337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-777-7370",
            "fax_number": "805-777-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JENSEN CT",
            "address_2": "SUITE 2C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607483",
            "telephone_number": "805-413-1070",
            "fax_number": "805-413-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTLAKE PHYSICAL THERAPY, INC.",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "P.T., OWNER, SECRETARY & TREASURER",
        "authorized_official_telephone_number": "805-777-7370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY GROUP NPI #",
            "identifier": "1043236078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.